Preferred Behavioral Health
LBN: Itic Support Services Group Llc
Preferred Behavioral Health is an health care organization with primary practice located at 141 Market Pl , Fairview Heights IL 62208-2034. The organization recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Allopathic & Osteopathic Physicians / Psychiatry, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Behavioral Health & Social Service Providers / Clinical is the primary health care specialty.
Itic Support Services Group Llc can be contacted via phone (314) 238-5260, or through Morris, Ryan W via phone (314) 238-5260.
Contact Information
Primary practice address
141 Market Pl
Fairview Heights IL 62208-2034
Phone: (314) 238-5260
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | ||
Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | ||
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | ||
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X |
Profile Details
NPI number | 1972074516 |
---|---|
LBN Legal business name | Itic Support Services Group Llc |
DBA Doing business as | Preferred Behavioral Health |
Authorized official | Morris, Ryan W |
Entity | Organization |
Organization subpart 1 | Yes |
Enumeration date | Dec 7th, 2018 |
Last updated | Aug 27th, 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 | 1972074516 | NPPES |
Illinois | MEDICAID | 1164929055 |
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