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Organization
MINDWORKS MENTAL HEALTH
Active
Organization
MINDWORKS MENTAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA PEREGUD-AKSIMENTYEVA LCPC (CLINICAL THERAPIST)
(217) 721-3263
Entity
Organization
Contact information
Practice address
328 N. NEIL. ST, SUIT B, CHAMPAIGN, IL 61820-3949
(217) 722-6336
(217) 354-9107
Mailing address
3303 S PINE CIR, URBANA, IL 61802-7130
(217) 721-3263
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33602
—
IL
Enumeration date
05/19/2021
Last updated
07/31/2021
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