Healthcare Provider Details

I. General information

NPI: 1538070115
Provider Name (Legal Business Name): MIND BODY INTEGRATIVE COUNSELING PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/14/2026
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17385 N 1100TH RD
MACOMB IL
61455-8839
US

IV. Provider business mailing address

17385 N 1100TH RD
MACOMB IL
61455-8839
US

V. Phone/Fax

Practice location:
  • Phone: 309-221-1544
  • Fax:
Mailing address:
  • Phone: 309-221-1544
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: KRISTEN DRAUGHAN
Title or Position: OWNER/MANAGER
Credential:
Phone: 309-221-1544