Organization
HEART & MIND, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AMANDA CHRISTINE MALLONI LCPC (COUNSELOR)
(413) 204-1985
Entity
Organization
Contact information
Practice address
3147 W LOGAN BLVD, SUITE 5W, CHICAGO, IL 60647-1613
(413) 204-1985
Mailing address
3003 N ALBANY AVE, CHICAGO, IL 60618-6911
(413) 204-1985
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180008704
IL
Other
Enumeration date
10/08/2013
Last updated
10/08/2013
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