Mindful Path Therapy Pllc
NPI #1639815939 in Mount Prospect, Illinois
Provider Information
- NPI Number
- 1639815939
- Entity Type
- Organization
- Organization Name
- Mindful Path Therapy Pllc
- Primary Specialty
- Counselor - Professional
- Enumeration Date
- May 10, 2022
- Last Updated
- May 10, 2022
Practice Location
- Address
- 1803 E WISTORIA CT
- City
- Mount Prospect
- State
- Illinois
- ZIP Code
- 60056-1829
- Phone
- (224) 423-9396
Authorized Official
- Name
- JUDITH LUCAS LAHLUM, LCPC, CADC
- Title
- OWNER/MANAGER
- Phone
- (847) 471-0647
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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