MEDICARE: MIND 2 HEART LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1043186620
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MIND 2 HEART LLC

Provider Business Mailing Address
First Line	:	6442 W 64TH ST
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60638-5008
Country	:	US
Telephone Number	:	773-706-3700
Fax Number	:

Provider Business Practice Location Address
First Line	:	6442 W 64TH ST
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60638-5008
Country	:	US
Telephone Number	:	773-706-3700
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. ISELA ESTRADA
Credential	:
Telephone Number	:	773-706-3700

Provider Enumeration Date	:	10/13/2025
Last Update Date	:	10/13/2025

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Directions to “MIND 2 HEART LLC ” Practice Location

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