Organization
MINDFUL INTENTIONS,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARLENE TANG APN (PMHNP)
(224) 733-6165
Entity
Organization
Contact information
Practice address
132 W LAKE ST UNIT 15, BLOOMINGDALE, IL 60108-1020
(847) 410-9018
(941) 200-3938
Mailing address
26W342 MACARTHUR AVE, CAROL STREAM, IL 60188-2264
(847) 410-9018
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/05/2021
Last updated
05/01/2026
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