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Organization
MINDFUL WELLNESS COUNSELING
Active
Organization
MINDFUL WELLNESS COUNSELING
Active
Other names
UNICHO Management LLC - Mindful Wellness Counseling Series
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JEVITA RENEE HAMILTON LCSW (LEAD THERAPIST)
(708) 637-1672
Entity
Organization
Contact information
Practice address
935 175TH ST, HOMEWOOD, IL 60430-2049
(708) 637-1672
(708) 637-1633
Mailing address
705 E 157TH ST, SOUTH HOLLAND, IL 60473-1528
(708) 941-4415
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
251B00000X
Case Management Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
05/24/2019
Last updated
12/30/2019
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