Organization
MOBILE MENTAL WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY TRAVIS LCSW (OWNER)
(866) 413-1988
Entity
Organization
Contact information
Practice address
1101 CUMBERLAND XING # 108, VALPARAISO, IN 46383-2356
(866) 413-1988
(866) 628-8599
Mailing address
980 N MICHIGAN AVE, STE 1090 PMB 344989, CHICAGO, IL 60611-4521
(866) 413-1988
(866) 628-8599
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300007929
—
IN
Enumeration date
07/14/2019
Last updated
02/02/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us