Provider Demographics
NPI:1821605247
Name:MEANT FOR ME THERAPY LLC
Entity Type:Organization
Organization Name:MEANT FOR ME THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BRITTANI
Authorized Official - Middle Name:MICHELLE
Authorized Official - Last Name:KINDLE
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:872-260-9292
Mailing Address - Street 1:1033 E 46TH ST APT 504
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60653-4030
Mailing Address - Country:US
Mailing Address - Phone:872-260-9292
Mailing Address - Fax:
Practice Address - Street 1:1033 E 46TH ST APT 504
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60653-4030
Practice Address - Country:US
Practice Address - Phone:872-260-9292
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-29
Last Update Date:2020-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health