Rachel Kennedy Lcpc Pllc

LBN: Rachel Kennedy Lcpc Pllc
Rachel Kennedy Lcpc Pllc is an health care organization with primary practice located at 11 N Northwest Hwy Ste 114 , Park Ridge IL 60068-3452. The organization recently has only one registered license in Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), which is considered as the primary health care specialty. Rachel Kennedy Lcpc Pllc can be contacted via phone (901) 262-4882, or through Kennedy, Rachel M via phone (901) 262-4882.

Contact Information

Primary practice address
11 N Northwest Hwy Ste 114 Park Ridge IL 60068-3452
Phone: (901) 262-4882
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Kennedy, Rachel M LCPC
Phone: (901) 262-4882

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X

Profile Details

NPI number 1568195832
LBN Legal business name Rachel Kennedy Lcpc Pllc
DBA Doing business as
Authorized official Kennedy, Rachel M LCPC
Entity Organization
Organization subpart 1 No
Enumeration date Jul 5th, 2022
Last updated Jul 25th, 2022 - 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 1568195832 NPPES
Illinois MEDICAID 1356981245

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