Counseling Healing And Restoring The Inner Self To Mindful Authenticit

Specialty details in registry · Flossmoor, IL

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At a glance

19624 Governors Hwy Ste 1, Flossmoor, IL 60422-2086

NPPES record updated Jun 2, 2021. Public records can lag behind changes at a practice.

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Insurance participation and appointment availability are not established by these public records.

Practice location

19624 Governors Hwy Ste 1
Flossmoor, IL 60422-2086
Professional details: NPI, taxonomy & registry record
NPI1063088763
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
101YP2500X
Enumeration date
Jun 2, 2021
Record updated
Jun 2, 2021
More registry details
Provider type
Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

101YP2500X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

19624 Governors Hwy Ste 1
Flossmoor, IL 60422-2086
Phone
(708) 701-6098
Fax
(708) 793-0167
Mailing address
19624 GOVERNORS HWY STE 1

FLOSSMOOR, IL 604222086
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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