Mindy E Forman Psyd Llc

LBN: Mindy E Forman Psyd Llc
Mindy E Forman Psyd Llc is an health care organization with primary practice located at 1020 Milwaukee Ave Ste 110 , Deerfield IL 60015-3555. The organization recently has only one registered license in Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), which is considered as the primary health care specialty. Mindy E Forman Psyd Llc can be contacted via phone (248) 703-4880, or through Forman, Mindy Erin via phone (248) 703-4880.

Contact Information

Primary practice address
1020 Milwaukee Ave Ste 110 Deerfield IL 60015-3555
Phone: (248) 703-4880
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Forman, Mindy Erin PSYD
Phone: (248) 703-4880

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X

Profile Details

NPI number 1225639990
LBN Legal business name Mindy E Forman Psyd Llc
DBA Doing business as
Authorized official Forman, Mindy Erin PSYD
Entity Organization
Organization subpart 1 No
Enumeration date Nov 7th, 2020
Last updated Dec 7th, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225639990 NPPES
Other NONE NONE

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