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Organization
MIND BODY BEHAVIORAL HEALTH, PLCC
Active
Organization
MIND BODY BEHAVIORAL HEALTH, PLCC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DAYNA LONG PMHNP, FNP (OWNER/CLINICIAN)
(708) 606-1147
Entity
Organization
Contact information
Practice address
680 N LAKE SHORE DR STE 1101768, CHICAGO, IL 60611-4546
(847) 680-9924
(847) 680-9924
Mailing address
1S150 SPRING RD APT 3I, OAKBROOK TERRACE, IL 60181-4612
(708) 606-1147
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
08/13/2024
Last updated
11/12/2025
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