Black Excellence Psychotherapy Pllc

LBN: Black Excellence Psychotherapy Pllc
Black Excellence Psychotherapy Pllc is an health care organization with primary practice located at 30047 N Waukegan Rd , Lake Bluff IL 60044-1023. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Adolescent and Children Mental Health. Ambulatory Health Care Facilities / Adolescent and Children Mental Health is the primary health care specialty. Black Excellence Psychotherapy Pllc can be contacted via phone (718) 342-4986, or through Ajoku, Fitzgerald via phone (914) 609-1183.

Contact Information

Primary practice address
30047 N Waukegan Rd Lake Bluff IL 60044-1023
Phone: (718) 342-4986
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Ajoku, Fitzgerald
Phone: (914) 609-1183

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X

Profile Details

NPI number 1700539681
LBN Legal business name Black Excellence Psychotherapy Pllc
DBA Doing business as
Authorized official Ajoku, Fitzgerald
Entity Organization
Organization subpart 1 No
Enumeration date Jan 31st, 2022
Last updated Oct 16th, 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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