MINDY MARIE EASTLING


Address: 27240 Dutton Rd, Beecher, IL 60401-5054
Phone: 2193845357

MINDY MARIE EASTLING (NPI# 1811597412) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1811597412
Entity Type Individual
Full Name MINDY MARIE EASTLING
Credential LCPC
Practice Address 27240 Dutton Rd
Beecher
IL 60401-5054
Practice Telephone 2193845357
Mailing Telephone 2193845357
Enumeration Date 2020-11-01
Last Update Date 2020-11-01
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
180013079 IL Behavioral Health & Social Service Providers

Office Location

Street Address 27240 DUTTON RD
City BEECHER
State IL
Zip Code 60401-5054

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NPI Name Taxonomy Address Enumeration
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1801416888 Taylor Jean Schrage Nurse Practitioner 1825 E Offner Rd, Beecher, IL 60401-3237 2020-04-20
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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

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Competitor

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City BEECHER
Zip Code 60401

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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