Bounthong, William Tiva

Bounthong, William Tiva is an individual health care provider with primary practice located at 7399 Forest Hills Rd , Loves Park IL 61111-3974. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Bounthong, William Tiva can be contacted via phone (815) 708-7392.

Contact Information

Primary practice address
7399 Forest Hills Rd Loves Park IL 61111-3974
Phone: (815) 708-7392
Fax: (815) 708-8248
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 149025844 Illinois
Behavioral Health & Social Service Providers / Clinical 1041C0700X 149025844 Illinois

Profile Details

NPI number 1144091505
LBN Legal business name Bounthong, William Tiva
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 12th, 2024
Last updated Feb 22nd, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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