Organization
ADAPTIVE MINDS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CORDELIA GRIMES MSW, LCSW (OWNER/THERAPIST)
(815) 216-4116
Entity
Organization
Contact information
Practice address
832 BENNINGTON DR, CRYSTAL LAKE, IL 60014-8841
(815) 216-4116
Mailing address
4305 N LINCOLN AVE STE G, CHICAGO, IL 60618-1807
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
05/29/2022
Last updated
05/29/2022
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