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Organization
PRIME MIND HEALTH SERVICES LLC
Active
Organization
PRIME MIND HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COMFORT LACY NP (OWNER)
(312) 678-4449
Entity
Organization
Contact information
Practice address
230 E OHIO ST STE 410, CHICAGO, IL 60611-5288
(312) 678-4449
Mailing address
230 E OHIO ST STE 410, CHICAGO, IL 60611-5288
(312) 678-4449
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/17/2023
Last updated
07/17/2023
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