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General NPI Number Information
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NPI Number | 1245143031
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Entity Type | Organization
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Legal Business Name | MINDFUL JOURNEY PSYCHIATRY LLC
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Dates
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Enumeration Date | 09/23/2026
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Last Update Date | 09/23/2026
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Provider Practice Location Address
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Address Line | 201 E OGDEN AVE STE 118
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City | HINSDALE
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State | IL
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Zip | 60521-3776
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Country | US
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Telephone | 630-270-7717
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Fax |
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Provider Business Mailing Address
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Address Line | 201 E OGDEN AVE STE 118
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City | HINSDALE
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State | IL
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Zip | 60521-3776
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | ROBYE BALLARD
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Credential | APRN
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Telephone | 708-825-7298
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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