Mb Clinical Psychology & Consulting, Llc

LBN: Mb Clinical Psychology & Consulting, Llc
Mb Clinical Psychology & Consulting, Llc is an health care organization with primary practice located at 4633 N Western Ave Ste 205 , Chicago IL 60625-2087. The organization recently has 6 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Family, Behavioral Health & Social Service Providers / Health, Behavioral Health & Social Service Providers / Group Psychotherapy. Behavioral Health & Social Service Providers / Clinical is the primary health care specialty. Mb Clinical Psychology & Consulting, Llc can be contacted via phone (312) 476-9588, or through Ballestas, Mirna via phone (312) 476-9588.

Contact Information

Primary practice address
4633 N Western Ave Ste 205 Chicago IL 60625-2087
Phone: (312) 476-9588
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Ballestas, Mirna PSY.D.
Phone: (312) 476-9588

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X
Behavioral Health & Social Service Providers / Clinical 103TC0700X
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X
Behavioral Health & Social Service Providers / Family 103TF0000X
Behavioral Health & Social Service Providers / Health 103TH0004X
Behavioral Health & Social Service Providers / Group Psychotherapy 103TP2701X

Profile Details

NPI number 1700499209
LBN Legal business name Mb Clinical Psychology & Consulting, Llc
DBA Doing business as
Authorized official Ballestas, Mirna PSY.D.
Entity Organization
Organization subpart 1 No
Enumeration date Aug 25th, 2020
Last updated Aug 25th, 2020 - about 4 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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