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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MYCELIUM MENTAL HEALTH PLLC

Active Organization

MYCELIUM MENTAL HEALTH PLLC is a Psychiatry organization located in LIBERTYVILLE, Illinois. NPI 1245129170 is currently active in the NPPES registry. Verify at CMS.

Psychiatry · LIBERTYVILLE, IL

Registration Details

NPI Number
1245129170
Provider Type
Organization
NPI Issued
Jul 3, 2025 (1.1331422434137 yrs)
Last Updated
Jul 3, 2025

Practice Information

Address
1590 S MILWAUKEE AVE STE 210
LIBERTYVILLE, IL, 600483785
Browse IL providers · Browse ZIP 60048
Phone
8476377516
Primary Specialty
Psychiatry
2084P0800X

Other Psychiatry Organizations in LIBERTYVILLE, IL

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.