Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
MIND ALTERING THERAPY & CONSULTING SERVICES LLC
Active
Organization
MIND ALTERING THERAPY & CONSULTING SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DESONTA TILLMAN LCPC (OWNER)
(773) 793-4155
Entity
Organization
Contact information
Practice address
2930 S MICHIGAN AVE, CHICAGO, IL 60616-3270
(773) 793-4155
Mailing address
1233 E 70TH ST, CHICAGO, IL 60637-4708
(773) 793-4155
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
02/14/2022
Last updated
03/02/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up