Healthy Mind and Body LLC
Clinic/Center (Adult Mental Health)

Address: 10540 S Western Ave Ste 507, Chicago, IL 60643-2529
Phone: 7739825615

Healthy Mind and Body LLC (NPI# 1437771979) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1437771979
Entity Type Organization
Organization Name HEALTHY MIND AND BODY LLC
Practice Address 10540 S Western Ave Ste 507
Chicago
IL 60643-2529
Practice Telephone 7739825615
Mailing Address 10120 S Leavitt St
Chicago
IL 60643-1910
Authorized Official Name Marianne Zarzecki (OWNER/THERAPIST)
Authorized Official Telephone 7735732619
Authorized Official Credential LCPC
Organization Subpart No, this organization is not a Subpart
Enumeration Date 2020-05-07
Last Update Date 2020-05-07

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 261QM0850X Clinic/Center · Adult Mental Health Ambulatory Health Care Facilities

Taxonomy Information

Taxonomy Code 261QM0850X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Adult Mental Health

Taxonomy Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
Notes: [7/1/2003: new]

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Office Location

Street Address 10540 S WESTERN AVE STE 507
City CHICAGO
State IL
Zip Code 60643-2529

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1154941698 Breann Hampton Behavior Technician 1214 W 115th St, Chicago, IL 60643 2020-04-24
1366075566 Sanctuary Counseling, LLC Home Health 12247 S Racine Ave, Calumet Park, IL 60643 2020-02-16
1467082883 Juliana Frances Cunningham Developmental Therapist 10037 S Bell, Chicago, IL 60643 2020-01-24
1013578624 Sct Counseling Counselor 11948 S Western Ave, Chicago, IL 60643 2019-06-25
1073087474 For Eyes Optical Company of Pa Optometrist 9900 S Ridgleland Ave, Chicago Ridge, IL 60643 2019-01-18
1073096426 Derek Peake Physical Therapist 9465 S. Western Road, Chicago, IL 60643 2018-09-12
1508356072 Halo Medical Professionals Sc. Chiropractor 10650 S Western Ave, Chicago, IL 60643 2018-05-10
1811405699 Kara Eileen Noland Developmental Therapist 9327 S Hamilton Ave, Chicago, IL 60643 2018-01-16
1588173546 Kiah Nicole Bouie Behavior Analyst 1461 W 113th Pl, Chicago, IL 60643 2017-09-21
1174042766 Travis Wade Robertson Physical Therapist 10909-11 S Western Ave, Beverly, IL 60643 2017-09-14
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Competitor

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City CHICAGO
Zip Code 60643

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.