Organization
EMBODIED MIND LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT HICKSON (OWNER)
(630) 935-4196
Entity
Organization
Contact information
Practice address
810 W DOWNER PL, AURORA, IL 60506-4904
(630) 935-4196
Mailing address
810 W DOWNER PL, AURORA, IL 60506-4904
(630) 935-4196
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
04/16/2022
Last updated
07/19/2023
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