Mimi Neathery, PSYD

NPI 1821429515 · on the registry since 2013 · sole proprietor

Practice

Address: 650 N Dearborn St
Suite 400
Chicago, IL 60654
Phone: (773) 580-9121
Fax: (312) 291-9723
Organisation at this address: Source Healing
Midwest Counseling And Diagnostic Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 23

Registry record

Primary taxonomy: 103TC0700X
103TC0700X
Licence states on file: IL
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2014-12-09

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois