Organization
NURTURING DEVELOPING MINDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACEY ELLIS (OWNER/THERAPIST)
(808) 408-1320
Entity
Organization
Contact information
Practice address
1025 DOUGLAS AVE, FLOSSMOOR, IL 60422-1111
(708) 408-1320
(708) 647-1709
Mailing address
1025 DOUGLAS AVE, FLOSSMOOR, IL 60422-1111
(708) 408-1320
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
04/12/2023
Last updated
04/12/2023
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