Individual provider · Type 1 NPI

Michelle Elizabeth Churchey-Mims, MA

Professional Counselor · Blue Island, IL

NPI number 1295859577 Active

Practice location

13136 Western Ave
Blue Island, IL 60406-2423

Call (708) 974-5856 Map

Fax (312) 829-0710

Mailing address

2424 Lewis St
Blue Island, IL 60406-1717

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XNone listed

Professional Counselor: Definition to come...

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About NPI 1295859577

Michelle Elizabeth Churchey-Mims, MA's National Provider Identifier is 1295859577, issued on Mar 19, 2007. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Blue Island, IL. The record was last updated on Jul 8, 2007.