Moody

LBN: Envision Unlimited
Moody is an health care organization with primary practice located at 2904 N Moody Ave , Chicago IL 60634. The organization recently has 4 registered licenses in different health care specialties including Agencies / Case Management, Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness. Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) is the primary health care specialty. Envision Unlimited can be contacted via phone (773) 676-2150, or through Bruggemann, Linda A via phone (773) 506-3201.

Contact Information

Primary practice address
2904 N Moody Ave Chicago IL 60634
Phone: (773) 676-2150
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Bruggemann, Linda A Licensed Professional Counselor (LPC)
Phone: (773) 506-3201

Health care specialties

SpecialtyCodeLicense #State
Agencies / Case Management 251B00000X
Agencies / Community/Behavioral Health 251S00000X
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X 18004 Illinois
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X Illinois

Profile Details

NPI number 1346732419
LBN Legal business name Envision Unlimited
DBA Doing business as Moody
Authorized official Bruggemann, Linda A Licensed Professional Counselor (LPC)
Entity Organization
Organization subpart 1 Yes
Enumeration date Jun 4th, 2018
Last updated Aug 16th, 2018 - about 6 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.

Request for update

Popular Providers