Organization
MINDFUL BEHAVIOR LLC
Active
Other names
MINDFUL BEHAVIOR LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ELISA JULIA LEE LCPC (CEO/OWNER)
(708) 202-9151
Entity
Organization
Contact information
Practice address
6815 W 63RD ST, CHICAGO, IL 60638-4048
(708) 304-3010
(708) 575-5333
Mailing address
PO BOX 388556, CHICAGO, IL 60638-8556
(708) 304-3010
(708) 575-5333
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
11/04/2024
Last updated
01/23/2026
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