Organization
MINDFULLY WELL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALICE SHIERK-BOOTH LCPC (OWNER)
(312) 505-9942
Entity
Organization
Contact information
Practice address
2463 HIGHMOOR RD, HIGHLAND PARK, IL 60035-1705
(847) 450-6974
Mailing address
2463 HIGHMOOR RD, HIGHLAND PARK, IL 60035-1705
(847) 450-6974
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
06/01/2023
Last updated
06/01/2023
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