Preferred Behavioral Health

LBN: Itic Support Services Inc
Preferred Behavioral Health is an health care organization with primary practice located at 141 Market Pl Ste 100 , Fairview Heights IL 62208. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as the primary health care specialty. Itic Support Services Inc can be contacted via phone (618) 398-4226, or through Morris, Ryan via phone (314) 238-5260.

Contact Information

Primary practice address
141 Market Pl Ste 100 Fairview Heights IL 62208
Phone: (618) 398-4226
Fax: (618) 398-1759
Website:
Map and Directions
Authorized official contact:
Name: Morris, Ryan
Phone: (314) 238-5260

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X

Profile Details

NPI number 1164929055
LBN Legal business name Itic Support Services Inc
DBA Doing business as Preferred Behavioral Health
Authorized official Morris, Ryan
Entity Organization
Organization subpart 1 No
Enumeration date Apr 9th, 2018
Last updated Sep 13th, 2019 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164929055 NPPES
Illinois MEDICAID 1164929055

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