Provider Demographics
NPI:1568034999
Name:ROTHMAN, MINDY (LPC)
Entity Type:Individual
Prefix:
First Name:MINDY
Middle Name:
Last Name:ROTHMAN
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:535 PLAINFIELD RD STE H
Mailing Address - Street 2:
Mailing Address - City:WILLOWBROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60527-7626
Mailing Address - Country:US
Mailing Address - Phone:630-348-9289
Mailing Address - Fax:
Practice Address - Street 1:535 PLAINFIELD RD STE H
Practice Address - Street 2:
Practice Address - City:WILLOWBROOK
Practice Address - State:IL
Practice Address - Zip Code:60527-7626
Practice Address - Country:US
Practice Address - Phone:630-348-9289
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-14
Last Update Date:2023-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health