Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mycelium Mental Health PLLC

Organization Psychiatry Physician · NPI 1245129170

Mycelium Mental Health PLLC is a Psychiatry Physician in Libertyville, Illinois. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1590 S Milwaukee Ave Ste 210
Libertyville, IL 60048-3785
Phone: (847) 637-7516
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X

Record details

NPI number1245129170
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Wendy You — Psychiatrist · (847) 637-7516
NPI enumeratedJuly 3, 2025
Last updated in NPPESJuly 3, 2025
Certification dateJuly 3, 2025
Mailing addressPo Box 5970, Vernon Hills, IL 60061-5970

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