Organization
STATE OF MIND MENTAL HEALTH & CONSULTATION SERVICES P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LATANYA MARIE MCFIELD (EXECUTIVE DIRECTOR)
(773) 807-2144
Entity
Organization
Contact information
Practice address
400 E 41ST ST, SUITE 101A, CHICAGO, IL 60653-3071
(773) 285-0804
(773) 285-0804
Mailing address
17911 LOS ANGELES AVE, HOMEWOOD, IL 60430-1509
(708) 798-4510
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
180006065
IL
Other
Enumeration date
09/21/2009
Last updated
09/21/2009
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