Organization
MIND AND BODY WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TALIA NELSON (CEO)
(708) 260-2030
Entity
Organization
Contact information
Practice address
6825 WHITE EGRET CT, TINLEY PARK, IL 60477-3973
(630) 546-2465
Mailing address
6825 WHITE EGRET CT, TINLEY PARK, IL 60477-3973
(630) 546-2465
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
03/13/2020
Last updated
11/04/2025
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