Forevermore Mind Body & Soul
Forevermore Mind Body & Soul is a Meals Provider in Joliet, Illinois. Registered with an NPI since 2023.
- In the registry since
- 2023
- Specialties on file
- 6
Practice location Address checks out
411 N Bluff St Apt 11Joliet, IL 60435-7295
Phone: (815) 766-5999
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinic/Center (primary) | Taxonomy 261Q00000X |
|---|---|
| Meals Provider | Taxonomy 174200000X |
| Community Health Clinic/Center | Taxonomy 261QC1500X |
| Multi-Specialty Clinic/Center | Taxonomy 261QM1300X |
| Pain Clinic/Center | Taxonomy 261QP3300X |
| Research Clinic/Center | Taxonomy 261QR1100X |
Record details
| NPI number | 1346025285 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Demitrius Brackett — Mental Health Provider · (815) 766-5999 |
| Other names | Forevermore Healthcare; Forevermore Healthcare |
| NPI enumerated | August 29, 2023 |
| Last updated in NPPES | December 3, 2025 |
| Certification date | December 3, 2025 |
| Mailing address | 411 N Bluff St Apt 11, Joliet, IL 60435-7295 |