Healthcare Provider Details

I. General information

NPI: 1821970815
Provider Name (Legal Business Name): MIND FREEDOM CONSULTING, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/22/2025
Last Update Date: 02/24/2026
Certification Date: 02/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

485 WEST HALF DAY RD #230
BUFFALO GROVE IL
60089
US

IV. Provider business mailing address

290 OLD MILL GROVE RD
LAKE ZURICH IL
60047-2600
US

V. Phone/Fax

Practice location:
  • Phone: 847-616-8305
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: MARIA SHENKMAN
Title or Position: PRESIDENT
Credential: LCPC
Phone: 847-616-8305