Organization
MINDFUL BEHAVIOR LLC
Active
Organization
MINDFUL BEHAVIOR LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELISA J LEE LCPC (OWNER)
(708) 304-3010
Entity
Organization
Contact information
Practice address
6815 W 63RD ST, CHICAGO, IL 60638-4048
(708) 304-3010
(708) 535-5333
Mailing address
PO BOX 388556, CHICAGO, IL 60638-8556
(708) 304-3010
(708) 535-5333
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
—
—
Other
Enumeration date
03/27/2023
Last updated
05/16/2024
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