Outreach Community Counseling Center In Carol Stream

LBN: Outreach Community Ministries Inc
Outreach Community Counseling Center In Carol Stream is an health care organization with primary practice located at 122 W Liberty Dr , Wheaton IL 60187-5124. The organization recently has 7 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Marriage & Family Therapist, Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Adolescent and Children Mental Health. Ambulatory Health Care Facilities / Adolescent and Children Mental Health is the primary health care specialty. Outreach Community Ministries Inc can be contacted via phone (630) 682-1910, or through Lux, Brian T. via phone (630) 682-1910.

Contact Information

Primary practice address
122 W Liberty Dr Wheaton IL 60187-5124
Phone: (630) 682-1910
Fax: (630) 682-0655
Website:
Map and Directions
Authorized official contact:
Name: Lux, Brian T. LCPC
Phone: (630) 682-1910

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Professional 101YP2500X
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X

Profile Details

NPI number 1255443669
LBN Legal business name Outreach Community Ministries Inc
DBA Doing business as Outreach Community Counseling Center In Carol Stream
Authorized official Lux, Brian T. LCPC
Entity Organization
Organization subpart 1 No
Enumeration date Aug 31st, 2006
Last updated Jan 15th, 2021 - about 3 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 1255443669 NPPES
Illinois Other 02232105 BLUE CROSS BLUE SHIELD

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