Organization · Type 2 NPI

Mindvault Health, LLC

Mental Health Counselor · Lisle, IL

NPI number 1689321945 Active

Practice location

5541 E Lake Dr Apt E
Lisle, IL 60532-2679

Call (630) 384-9214 Map

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Mental Health Counselor Primary 101YM0800XNone listed
Psychoanalyst 102L00000XNone listed
Social Worker 104100000XNone listed
Clinical Social Worker 1041C0700XNone listed

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About NPI 1689321945

Mindvault Health, LLC's National Provider Identifier is 1689321945, issued on Mar 7, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Lisle, IL. The record was last updated on Mar 7, 2022.