Organization
MIND BODY CO-OP
Active
Other names
Kellie Rinehart Rice LCPC, Ltd
Organization subpart
No
Provider details
NPI number
Authorized official
KELLIE RICE PSY.D., CGP (FOUNDER OWNER)
(872) 274-4344
Entity
Organization
Contact information
Practice address
30 N MICHIGAN AVE STE 424, CHICAGO, IL 60602-3844
(872) 274-4344
(866) 671-9991
Mailing address
3209 N LAKEWOOD AVE, CHICAGO, IL 60657-3215
(872) 274-4344
(866) 671-9991
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
IL
103G00000X
Clinical Neuropsychologist
—
—
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
—
103TH0004X
Health Psychologist
—
—
103TP2701X
Group Psychotherapy Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
133VN1201X
Obesity and Weight Management Nutrition Registered Dietitian
—
—
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1750668091
MEDICARE
IL
05
—
1750668091
—
IL
Enumeration date
11/15/2011
Last updated
12/11/2025
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