Healthcare Provider Details

I. General information

NPI: 1073455960
Provider Name (Legal Business Name): MINDFUL EXPRESSIONS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/08/2026
Last Update Date: 04/08/2026
Certification Date: 04/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7 E CARRIAGEWAY DR UNIT 503
HAZEL CREST IL
60429-2032
US

IV. Provider business mailing address

7 E CARRIAGEWAY DR UNIT 503
HAZEL CREST IL
60429-2032
US

V. Phone/Fax

Practice location:
  • Phone: 773-383-7907
  • Fax: 773-383-7907
Mailing address:
  • Phone: 773-383-7907
  • Fax: 773-383-7907

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: DR. BONITA P HUSBAND
Title or Position: COUNSELOR
Credential: CRC AND LCPC
Phone: 773-383-7907