Organization
MIND THERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IRIS JACKSON LPC, NCC (OWNER/ CLINICAL DIRECTOR)
(616) 522-4027
Entity
Organization
Contact information
Practice address
600 PLASTICS PL STE 245, KALAMAZOO, MI 49001-4882
(616) 522-4027
(616) 282-1777
Mailing address
10618 S WALDEN PKWY, CHICAGO, IL 60643-2661
(773) 663-7773
(616) 282-1777
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
08/17/2026
Last updated
08/20/2026
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