Organization
VIDA MENTAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARMELA SNCHEZ PA (OWNER)
(847) 979-9095
Entity
Organization
Contact information
Practice address
333 E IL ROUTE 83 STE 205, MUNDELEIN, IL 60060-4279
(847) 979-9095
(847) 233-1349
Mailing address
1420 ESTATE LN, GLENVIEW, IL 60025-1520
(847) 879-9095
(847) 233-1349
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
08/07/2023
Last updated
01/07/2024
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