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Organization
MINDVAULT HEALTH, LLC
Active
Organization
MINDVAULT HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TODD MOKOS (OWNER)
(630) 384-9214
Entity
Organization
Contact information
Practice address
5541 E LAKE DR APT E, LISLE, IL 60532-2679
(630) 384-9214
Mailing address
5541 E LAKE DR APT E, LISLE, IL 60532-2679
(630) 384-9214
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
102L00000X
Psychoanalyst
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
03/07/2022
Last updated
03/07/2022
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