Macomb Mental Wellness Llc

LBN: Macomb Mental Wellness Llc
Macomb Mental Wellness Llc is an health care organization with primary practice located at 210 S Randolph St , Macomb IL 61455-3828. The organization recently has only one registered license in Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), which is considered as the primary health care specialty. Macomb Mental Wellness Llc can be contacted via phone (217) 779-6063, or through Proctor, Joseph William via phone (217) 779-6063.

Contact Information

Primary practice address
210 S Randolph St Macomb IL 61455-3828
Phone: (217) 779-6063
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Proctor, Joseph William PSY.D
Phone: (217) 779-6063

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X

Profile Details

NPI number 1548863194
LBN Legal business name Macomb Mental Wellness Llc
DBA Doing business as
Authorized official Proctor, Joseph William PSY.D
Entity Organization
Organization subpart 1 No
Enumeration date Nov 17th, 2020
Last updated Nov 17th, 2020 - 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.

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