Organization · Type 2 NPI

Forevermore Mind Body & Soul

Clinic/Center · Joliet, IL

NPI number 1346025285 Active

Practice location

411 N Bluff St Apt 11
Joliet, IL 60435-7295

Specialties and licenses

Taxonomy	Code	License
Meals Provider	174200000X	None listed
Clinic/Center Primary	261Q00000X	None listed
Community Health Clinic/Center	261QC1500X	None listed
Multi-Specialty Clinic/Center	261QM1300X	None listed
Pain Clinic/Center	261QP3300X	None listed
Research Clinic/Center	261QR1100X	None listed

Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Another provider at this address

Demitrius Brackett, OWNER/DOCognitive & Behavioral Psychologist Joliet, IL NPI 1053911479

Other clinic/center providers in Joliet

See all in Joliet →

NPI record

NPI: 1346025285
Entity type: Organization (Type 2)
Issued: Aug 29, 2023
Last updated: Dec 3, 2025
Status: Active

Other names

<unavail>
Forevermore Healthcare · doing business as
Forevermore Healthcare · doing business as

Authorized official

Mr. Demitrius Brackett, PAIN
Mental Health Provider
(815) 766-5999

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1346025285

Forevermore Mind Body & Soul's National Provider Identifier is 1346025285, issued on Aug 29, 2023. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Joliet, IL. The record was last updated on Dec 3, 2025.