Sacred Journey Institute

LBN: Sacred Journey Institute
Sacred Journey Institute is an health care organization with primary practice located at 20550 S Lagrange Rd Ste 210 , Frankfort IL 60423-6042. 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. Sacred Journey Institute can be contacted via phone (708) 703-1791, or through Massat, Dana via phone (708) 703-1791.

Contact Information

Primary practice address
20550 S Lagrange Rd Ste 210 Frankfort IL 60423-6042
Phone: (708) 703-1791
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Massat, Dana LCPC
Phone: (708) 703-1791

Health care specialties

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

Profile Details

NPI number 1528760071
LBN Legal business name Sacred Journey Institute
DBA Doing business as
Authorized official Massat, Dana LCPC
Entity Organization
Organization subpart 1 No
Enumeration date Mar 20th, 2023
Last updated Mar 20th, 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 1528760071 NPPES
Illinois Other 1366067878 LICENSED PROFESSIONAL COUNSELOR BCBS

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