Organization
RENEWING MINDS THERAPY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSIE GIESE LCSW, BCBA (OWNER/LICENSED CLINICAL SOCIAL WORK)
(630) 931-2388
Entity
Organization
Contact information
Practice address
1555 NAPERVILLE WHEATON RD STE 212, NAPERVILLE, IL 60563-1517
(630) 931-2388
Mailing address
1555 NAPERVILLE WHEATON RD STE 212, NAPERVILLE, IL 60563-1517
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1780956482
—
IL
Enumeration date
11/13/2018
Last updated
11/13/2018
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