Organization
MIND TO HEART THERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLOTTE MARKLEY LCSW (OWNER)
(309) 340-4305
Entity
Organization
Contact information
Practice address
121 N MAIN ST STE 205, BLOOMINGTON, IL 61701-7619
(309) 340-4305
Mailing address
121 N MAIN ST STE 205, BLOOMINGTON, IL 61701-7619
(309) 340-4305
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
06/09/2025
Last updated
06/09/2025
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