Provider Demographics
NPI:1093487720
Name:MINDFUL DISCOVERIES THERAPY, PLLC
Entity Type:Organization
Organization Name:MINDFUL DISCOVERIES THERAPY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JUDY
Authorized Official - Middle Name:
Authorized Official - Last Name:SHUMICKI
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC
Authorized Official - Phone:630-247-1745
Mailing Address - Street 1:207 STEPHEN STREET, SUITE 3
Mailing Address - Street 2:
Mailing Address - City:LEMONT
Mailing Address - State:IL
Mailing Address - Zip Code:60439
Mailing Address - Country:US
Mailing Address - Phone:630-247-1745
Mailing Address - Fax:
Practice Address - Street 1:207 STEPHEN ST STE 3
Practice Address - Street 2:
Practice Address - City:LEMONT
Practice Address - State:IL
Practice Address - Zip Code:60439-3710
Practice Address - Country:US
Practice Address - Phone:630-247-1745
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-30
Last Update Date:2023-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty