Provider Demographics
NPI:1619558574
Name:MINDFUL CURIOSITY, LLC
Entity Type:Organization
Organization Name:MINDFUL CURIOSITY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ISHUGHUN
Authorized Official - Middle Name:FAITH
Authorized Official - Last Name:ORKAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:224-999-0711
Mailing Address - Street 1:1555 SHERMAN AVE # 218
Mailing Address - Street 2:
Mailing Address - City:EVANSTON
Mailing Address - State:IL
Mailing Address - Zip Code:60201-4421
Mailing Address - Country:US
Mailing Address - Phone:224-999-0711
Mailing Address - Fax:
Practice Address - Street 1:1718 SHERMAN AVE STE 204
Practice Address - Street 2:
Practice Address - City:EVANSTON
Practice Address - State:IL
Practice Address - Zip Code:60201-5610
Practice Address - Country:US
Practice Address - Phone:224-999-0711
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-20
Last Update Date:2021-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No251S00000XAgenciesCommunity/Behavioral Health