Blue Moon Senior Counseling Of Illinois Llc
LBN: Blue Moon Senior Counseling Of Illinois Llc
Blue Moon Senior Counseling Of Illinois Llc is an health care organization with primary practice located at 10204 Bode St Ste B , Plainfield IL 60585-9813. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty.
Blue Moon Senior Counseling Of Illinois Llc can be contacted via phone (855) 241-7160, or through Donohue, Melanie via phone (855) 241-7160.
Contact Information
Primary practice address
10204 Bode St Ste B
Plainfield IL 60585-9813
Phone: (855) 241-7160
Fax: (954) 465-5142
Website:
Authorized official contact:
Name: Donohue, Melanie Licensed Clinical Social Worker (LCSW)
Phone: (855) 241-7160
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X |
Profile Details
| NPI number | 1841562931 |
|---|---|
| LBN Legal business name | Blue Moon Senior Counseling Of Illinois Llc |
| DBA Doing business as | |
| Authorized official | Donohue, Melanie Licensed Clinical Social Worker (LCSW) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 3rd, 2012 |
| Last updated | Sep 20th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1841562931 | NPPES |
| Illinois | Other | IL7187 | MEDICARE PTAN |
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