Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mind Altering Therapy & Consulting Services LLC

Organization Professional Counselor · NPI 1669127163

Mind Altering Therapy & Consulting Services LLC is a Professional Counselor in Chicago, Illinois. Works from 2 locations. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2930 S Michigan Ave
Chicago, IL 60616-3270
Phone: (773) 793-4155
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1233 E 70th St, Chicago, IL 60637-4708 — (773) 793-4155

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X

Record details

NPI number1669127163
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Desonta Tillman — Owner · (773) 793-4155
NPI enumeratedFebruary 14, 2022
Last updated in NPPESMarch 2, 2022
Certification dateMarch 2, 2022
Mailing address1233 E 70th St, Chicago, IL 60637-4708

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