Anita Mandley Lcpc Pllc

LBN: Anita Mandley Lcpc Pllc
Anita Mandley Lcpc Pllc is an health care organization with primary practice located at 7514 Kostner Ave , Skokie IL 60076-3828. The organization recently has only one registered license in Ambulatory Health Care Facilities / Adult Mental Health, which is considered as the primary health care specialty. Anita Mandley Lcpc Pllc can be contacted via phone (312) 509-2245, or through Mandley, Anita A via phone (312) 509-2245.

Contact Information

Primary practice address
7514 Kostner Ave Skokie IL 60076-3828
Phone: (312) 509-2245
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Mandley, Anita A LCPC
Phone: (312) 509-2245

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X

Profile Details

NPI number 1619628450
LBN Legal business name Anita Mandley Lcpc Pllc
DBA Doing business as
Authorized official Mandley, Anita A LCPC
Entity Organization
Organization subpart 1 No
Enumeration date Jan 13th, 2022
Last updated Jan 13th, 2022 - about 3 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 1619628450 NPPES
Illinois Other 180002457 CLINICAL COUNSELORPROFESSIONAL LICENSE

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