Mckenna Counseling Llc

LBN: Mckenna Counseling Llc
Mckenna Counseling Llc is an health care organization with primary practice located at 3526 N California Ave Ste 101 , Peoria IL 61603-1143. The organization recently has only one registered license in Managed Care Organizations / Point of Service, which is considered as the primary health care specialty. Mckenna Counseling Llc can be contacted via phone (309) 431-1297, or through Mckenna, Kelly via phone (309) 431-1297.

Contact Information

Primary practice address
3526 N California Ave Ste 101 Peoria IL 61603-1143
Phone: (309) 431-1297
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Mckenna, Kelly Licensed Clinical Social Worker (LCSW)
Phone: (309) 431-1297

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Point of Service 305S00000X

Profile Details

NPI number 1700419223
LBN Legal business name Mckenna Counseling Llc
DBA Doing business as
Authorized official Mckenna, Kelly Licensed Clinical Social Worker (LCSW)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 13th, 2020
Last updated Feb 13th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1700419223 NPPES
Illinois Other 149013193 STATE OF IL

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