Associates In Mental Health, Sc
LBN: Associates In Mental Health, Sc
Associates In Mental Health, Sc is an health care organization with primary practice located at 900 Main St Suite 580, Peoria IL 61602-1005. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Allopathic & Osteopathic Physicians / Psychiatry. Behavioral Health & Social Service Providers / Clinical is the primary health care specialty.
Associates In Mental Health, Sc can be contacted via phone (309) 637-4266, or through Colen, Bradford Emil via phone (309) 637-4266.
Contact Information
Primary practice address
900 Main St Suite 580
Peoria IL 61602-1005
Phone: (309) 637-4266
Fax: (309) 637-9836
Website:
Authorized official contact:
Name: Colen, Bradford Emil Doctor of Medicine (MD)
Phone: (309) 637-4266
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | ||
Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X |
Profile Details
NPI number | 1891856795 |
---|---|
LBN Legal business name | Associates In Mental Health, Sc |
DBA Doing business as | |
Authorized official | Colen, Bradford Emil Doctor of Medicine (MD) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Dec 13th, 2006 |
Last updated | Aug 22nd, 2020 - about 4 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1891856795 | NPPES |
Illinois | Other | 319975 | VALUE OPTIONS |
Illinois | Other | 07200526 | VALUE OPTIONS |
Illinois | Other | CN0459 | VALUE OPTIONS |
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