Organization
MOBILE WELLNESS INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY TRAVIS LCSW (CEO)
(866) 413-1988
Entity
Organization
Contact information
Practice address
1101 CUMBERLAND CROSSING DR., #108, VALPARAISO, IN 46383
(866) 413-1988
(866) 628-8599
Mailing address
980 N MICHIGAN AVE, STE 1090 PMB 344989, CHICAGO, IL 60611-4521
(866) 413-1988
(866) 628-8599
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103T00000X
Psychologist
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
106H00000X
Marriage & Family Therapist
—
—
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261QA0600X
Adult Day Care Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
01/04/2021
Last updated
04/09/2026
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