Blue Island Counseling Llc

LBN: Blue Island Counseling Llc
Blue Island Counseling Llc is an health care organization with primary practice located at 2343 Canal St , Blue Island IL 60406-2956. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Blue Island Counseling Llc can be contacted via phone (708) 674-8735, or through Kozak, Justin Christopher via phone (708) 829-5673.

Contact Information

Primary practice address
2343 Canal St Blue Island IL 60406-2956
Phone: (708) 674-8735
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Kozak, Justin Christopher LCPC
Phone: (708) 829-5673

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1740828284
LBN Legal business name Blue Island Counseling Llc
DBA Doing business as
Authorized official Kozak, Justin Christopher LCPC
Entity Organization
Organization subpart 1 No
Enumeration date Dec 16th, 2019
Last updated Dec 16th, 2019 - about 5 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 1740828284 NPPES
Illinois MEDICAID 1972054294

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