Healthcare Provider Details

I. General information

NPI: 1710866330
Provider Name (Legal Business Name): MINDFUL MINDSET WELLNESS CENTER, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/28/2025
Last Update Date: 02/20/2026
Certification Date: 02/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9944 S ROBERTS RD STE 201
PALOS HILLS IL
60465-1558
US

IV. Provider business mailing address

9944 S ROBERTS RD STE 201
PALOS HILLS IL
60465-1558
US

V. Phone/Fax

Practice location:
  • Phone: 708-480-2048
  • Fax: 708-480-0710
Mailing address:
  • Phone: 708-480-2048
  • Fax: 708-480-0710

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: NADER JOUDEH
Title or Position: FOUNDER/SUPERVISOR
Credential: LCPC
Phone: 708-480-2048