Organization · Type 2 NPI

Enlighten Mind Body Wellness LLC

Clinical Psychologist · Rockford, IL

NPI number 1114549581 Active

Practice location

3106 Spring Harbour Dr
Rockford, IL 61114-6605

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700XNone listed

Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…

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About NPI 1114549581

Enlighten Mind Body Wellness LLC's National Provider Identifier is 1114549581, issued on May 8, 2020. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Rockford, IL. The record was last updated on May 8, 2020.