MEDICARE: MOBILE WELLNESS INCORPORATED

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	106H00000X	Marriage & Family Therapist
2	251C00000X	Developmentally Disabled Services Day Training Agency
3	253Z00000X	In Home Supportive Care Agency
4	385H00000X	Respite Care
5	261QA0600X	Adult Day Care Clinic/Center
6	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)
7	1041C0700X	Clinical Social Worker
8	251B00000X	Case Management Agency
9	101YM0800X	Mental Health Counselor
10	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1982292199
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MOBILE WELLNESS INCORPORATED

Provider Business Mailing Address
First Line	:	980 N MICHIGAN AVE
Second Line	:	STE 1090 PMB 344989
City	:	CHICAGO
State	:	IL
Zip	:	60611-4521
Country	:	US
Telephone Number	:	866-413-1988
Fax Number	:	866-628-8599

Provider Business Practice Location Address
First Line	:	1101 CUMBERLAND CROSSING DR.
Second Line	:	#108
City	:	VALPARAISO
State	:	IN
Zip	:	46383
Country	:	US
Telephone Number	:	866-413-1988
Fax Number	:	866-628-8599

Authorized Official
Title or Position	:	CEO
Name	:	KIMBERLY TRAVIS
Credential	:	LCSW
Telephone Number	:	866-413-1988

Provider Enumeration Date	:	01/04/2021
Last Update Date	:	02/02/2026

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Directions to “MOBILE WELLNESS INCORPORATED ” Practice Location

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