Organization
ENLIGHTEN MIND BODY WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHERRY FALSETTI PH.D. (OWNER/CLINICAL PSYCHOLOGIST)
(815) 988-8756
Entity
Organization
Contact information
Practice address
3106 SPRING HARBOUR DR, ROCKFORD, IL 61114-6605
(815) 988-8756
Mailing address
3106 SPRING HARBOUR DR, ROCKFORD, IL 61114-6605
(815) 988-8756
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
05/08/2020
Last updated
05/08/2020
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