Provider Demographics
NPI:1629516935
Name:MINDSET COUNSELING
Entity Type:Organization
Organization Name:MINDSET COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:
Authorized Official - Last Name:CAPUTO
Authorized Official - Suffix:
Authorized Official - Credentials:MS, LCPC
Authorized Official - Phone:815-830-3902
Mailing Address - Street 1:123 W WASHINGTON ST
Mailing Address - Street 2:SUITE 325
Mailing Address - City:OSWEGO
Mailing Address - State:IL
Mailing Address - Zip Code:60543-8214
Mailing Address - Country:US
Mailing Address - Phone:815-448-9398
Mailing Address - Fax:
Practice Address - Street 1:123 W. WASHINGTON STREET
Practice Address - Street 2:SUITE 325
Practice Address - City:OSWEGO
Practice Address - State:IL
Practice Address - Zip Code:60543-8254
Practice Address - Country:US
Practice Address - Phone:815-448-9398
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-07
Last Update Date:2017-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180009396251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health