Organization
THE MODERN WELLNESS COLLECTIVE, PLLC
Active
Organization
THE MODERN WELLNESS COLLECTIVE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIRSTEN HALL-BALDWIN LCPC (LICENSED THERAPIST)
(419) 681-5889
Entity
Organization
Contact information
Practice address
661 W LAKE ST STE 2S, CHICAGO, IL 60661-1034
(419) 681-5889
Mailing address
661 W LAKE ST STE 2S, CHICAGO, IL 60661-1034
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
09/20/2023
Last updated
11/01/2024
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