The Center For Divorce Recovery

LBN: Affiliates In Counseling Llc
The Center For Divorce Recovery is an health care organization with primary practice located at 633 Skokie Blvd 260, Northbrook IL 60062-2858. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Clinical is the primary health care specialty. Affiliates In Counseling Llc can be contacted via phone (847) 480-0300, or through Mirman, Morton C via phone (847) 480-0300.

Contact Information

Primary practice address
633 Skokie Blvd 260 Northbrook IL 60062-2858
Phone: (847) 480-0300
Fax: (847) 291-0576
Website:
Map and Directions
Authorized official contact:
Name: Mirman, Morton C PH.D.
Phone: (847) 480-0300

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X

Profile Details

NPI number 1003868472
LBN Legal business name Affiliates In Counseling Llc
DBA Doing business as The Center For Divorce Recovery
Authorized official Mirman, Morton C PH.D.
Entity Organization
Organization subpart 1 No
Enumeration date May 16th, 2006
Last updated Apr 27th, 2011 - about 13 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 1003868472 NPPES
Illinois Other 1620796 BCBS OF IL

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