MEDICARE: MENTAL HEALTH MATTERS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1255266169
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MENTAL HEALTH MATTERS LLC

Provider Business Mailing Address
First Line	:	1130 S CANAL ST STE 1079
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60607-5058
Country	:	US
Telephone Number	:	312-590-5495
Fax Number	:

Provider Business Practice Location Address
First Line	:	1130 S CANAL ST STE 1079
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60607-5058
Country	:	US
Telephone Number	:	312-590-5495
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	PEARLE AO OLATUNJI
Credential	:	NP
Telephone Number	:	312-590-5495

Provider Enumeration Date	:	06/15/2026
Last Update Date	:	06/15/2026

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Directions to “MENTAL HEALTH MATTERS LLC ” Practice Location

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