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Organization
OF SOUND MIND MENTAL HEALTH COUNSELING, LIFE COACHING, AND CONSULTATIO
Active
Organization
OF SOUND MIND MENTAL HEALTH COUNSELING, LIFE COACHING, AND CONSULTATIO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CICELY POWELL LCSW (CEO/OWNER)
(708) 930-0640
Entity
Organization
Contact information
Practice address
18650 GOLFVIEW AVE, HOMEWOOD, IL 60430-3608
(708) 930-0640
Mailing address
18650 GOLFVIEW AVE, HOMEWOOD, IL 60430-3608
(708) 930-0640
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
05/23/2023
Last updated
05/23/2023
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