Jiselle Roman Lcpc Pllc

LBN: Jiselle Roman Lcpc Pllc
Jiselle Roman Lcpc Pllc is an health care organization with primary practice located at 10720 Princess Ave , Chicago Ridge IL 60415-2139. The organization recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Adolescent and Children Mental Health. Behavioral Health & Social Service Providers / Professional is the primary health care specialty. Jiselle Roman Lcpc Pllc can be contacted via phone (773) 627-7914, or through Roman, Jiselle via phone (773) 627-7914.

Contact Information

Primary practice address
10720 Princess Ave Chicago Ridge IL 60415-2139
Phone: (773) 627-7914
Fax: (708) 575-6527
Website:
Map and Directions
Authorized official contact:
Name: Roman, Jiselle LCPC
Phone: (773) 627-7914

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X
Agencies / Community/Behavioral Health 251S00000X
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X

Profile Details

NPI number 1649917345
LBN Legal business name Jiselle Roman Lcpc Pllc
DBA Doing business as
Authorized official Roman, Jiselle LCPC
Entity Organization
Organization subpart 1 No
Enumeration date May 16th, 2022
Last updated Nov 4th, 2023 - about last year

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 1649917345 NPPES
Illinois Other 1750703583 NPI 1

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