Enlighten Mind Body Wellness LLC

NPI #1114549581 in Rockford, Illinois

Provider Information

NPI Number: 1114549581
Entity Type: Organization
Organization Name: Enlighten Mind Body Wellness LLC
Primary Specialty: Psychologist - Clinical
Enumeration Date: May 8, 2020
Last Updated: May 8, 2020

Practice Location

Address: 3106 SPRING HARBOUR DR
City: Rockford
State: Illinois
ZIP Code: 61114-6605
Phone: (815) 988-8756

Authorized Official

Name: DR. SHERRY FALSETTI, PH.D.
Title: OWNER/CLINICAL PSYCHOLOGIST
Phone: (815) 988-8756

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Clinical — Clinical	103TC0700X	Primary

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