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Organization
MADEMIND WELLNESS & PERFORMANCE
Active
Organization
MADEMIND WELLNESS & PERFORMANCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL WILEY JR. LCPC (OWNER)
(206) 734-0964
Entity
Organization
Contact information
Practice address
3402 CHESTERFIELD CT, SNELLVILLE, GA 30039-4609
(206) 734-0964
Mailing address
7234 W NORTH AVE STE 208, CHICAGO, IL 60707-4202
(206) 734-0964
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/02/2025
Last updated
04/02/2025
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