Positively Psyched, Pllc

LBN: Positively Psyched, Pllc
Positively Psyched, Pllc is an health care organization with primary practice located at 17 N Catherine Ave , La Grange IL 60525-5929. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Positively Psyched, Pllc can be contacted via phone (630) 244-2679, or through Lestina, Scott via phone (630) 244-2679.

Contact Information

Primary practice address
17 N Catherine Ave La Grange IL 60525-5929
Phone: (630) 244-2679
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Lestina, Scott
Phone: (630) 244-2679

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1043972854
LBN Legal business name Positively Psyched, Pllc
DBA Doing business as
Authorized official Lestina, Scott
Entity Organization
Organization subpart 1 No
Enumeration date Oct 8th, 2021
Last updated Dec 22nd, 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 1043972854 NPPES
Illinois Other 1942667530 CIGNA/PPO
Illinois Other 1942667530 CIGNA/PPO

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