A & E Behavioral Health Care Associates Pc

LBN: A & E Behavioral Health Care Associates Pc
A & E Behavioral Health Care Associates Pc is an health care organization with primary practice located at 2570 Federal Drive , Decatur IL 62526. The organization recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Social Worker, Allopathic & Osteopathic Physicians / Psychiatry. Behavioral Health & Social Service Providers / Counselor is the primary health care specialty. A & E Behavioral Health Care Associates Pc can be contacted via phone (217) 872-1003, or through Butt, Indigo via phone (217) 872-1003.

Contact Information

Primary practice address
2570 Federal Drive Decatur IL 62526
Phone: (217) 872-1003
Fax: (217) 233-4150
Website:
Map and Directions
Authorized official contact:
Name: Butt, Indigo
Phone: (217) 872-1003

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Counselor 101Y00000X Illinois
Behavioral Health & Social Service Providers / Psychologist 103T00000X
Behavioral Health & Social Service Providers / Social Worker 104100000X
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X

Profile Details

NPI number 1023171006
LBN Legal business name A & E Behavioral Health Care Associates Pc
DBA Doing business as
Authorized official Butt, Indigo
Entity Organization
Organization subpart 1 No
Enumeration date Dec 19th, 2006
Last updated Aug 3rd, 2009 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023171006 NPPES
Illinois Other 05821971 BCBS

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