Providence Counseling Associates, Llc

LBN: Providence Counseling Associates, Llc
Providence Counseling Associates, Llc is an health care organization with primary practice located at 445 W Jackson Ave Ste 206 , Naperville IL 60540-5258. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Professional is the primary health care specialty. Providence Counseling Associates, Llc can be contacted via phone (630) 420-2596, or through Spackey, Stephanie Joy via phone (630) 420-2596.

Contact Information

Primary practice address
445 W Jackson Ave Ste 206 Naperville IL 60540-5258
Phone: (630) 420-2596
Fax: (630) 420-2796
Website:
Map and Directions
Authorized official contact:
Name: Spackey, Stephanie Joy PSY.D.
Phone: (630) 420-2596

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X Illinois
Behavioral Health & Social Service Providers / Psychologist 103T00000X Illinois

Profile Details

NPI number 1861523680
LBN Legal business name Providence Counseling Associates, Llc
DBA Doing business as
Authorized official Spackey, Stephanie Joy PSY.D.
Entity Organization
Organization subpart 1 No
Enumeration date Mar 7th, 2007
Last updated Mar 10th, 2009 - about 15 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 1861523680 NPPES
Illinois Other 0032240364 BLUECROSSBLUESHIELD

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