Organization · Type 2 NPI
Mind Lodge
Mental Health Counselor · Plainfield, IL
NPI number
1639933732
Active
Practice location
24014 W Renwick Rd Ste 105-5
Plainfield, IL 60544-8708
Mailing address
13855 S Petersburg Dr
Plainfield, IL 60544-7078
Other practice locations
- 13855 S Petersburg Dr, Plainfield, IL 60544-7078 · (815) 517-8467
- 24014 W Renwick Rd Ste 100-12, Plainfield, IL 60544-8708 · (815) 200-1099
- 24014 W Renwick Rd Unit 3, Plainfield, IL 60544-8708 · (815) 200-1099
- 24014 W Renwick Rd, Ste 103, Plainfield, IL 60544 · (815) 200-1130
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
| Professional Counselor | 101YP2500X | None listed |
| Clinical Social Worker | 1041C0700X | None listed |
| Community/Behavioral Health Agency | 251S00000X | None listed |
Mental Health Counselor: Definition to come...
2 other providers at this address
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About NPI 1639933732
Mind Lodge's National Provider Identifier is 1639933732, issued on Feb 8, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Plainfield, IL. The record was last updated on Nov 7, 2025.