# MIND ON WELLNESS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1982112389
- **Authorized official:** DR. MICHELLE HEYLAND DNP, APN, PMHNP-BC (OWNER)
- **Authorized official phone:** (847) 257-2497

## Contact information

- **Practice address:** 1011 LAKE ST STE 304, OAK PARK, IL 60301-1138
- **Practice address phone:** (847) 257-2497
- **Mailing address:** 1624 N MOHAWK ST UNIT A, CHICAGO, IL 60614-5624

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 209010790 | IL | Yes |

## Other

- **Enumeration date:** 01/19/2018
- **Last updated:** 01/19/2018