S.H.I.F.A.
LBN: Self Empowerment Center, Pc
S.H.I.F.A. is an health care organization with primary practice located at 1751 South Naperville Road Suite #207, Wheaton IL 60189. The organization recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Adult Development & Aging, Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Child & Adolescent. Behavioral Health & Social Service Providers / Clinical is the primary health care specialty.
Self Empowerment Center, Pc can be contacted via phone (630) 774-8316, or through Khan, Asif Ali via phone (630) 774-8316.
Contact Information
Primary practice address
1751 South Naperville Road Suite #207
Wheaton IL 60189
Phone: (630) 774-8316
Fax: (630) 690-3353
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Adult Development & Aging | 103TA0700X | ||
Behavioral Health & Social Service Providers / Cognitive & Behavioral | 103TB0200X | ||
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | ||
Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X |
Profile Details
NPI number | 1871615468 |
---|---|
LBN Legal business name | Self Empowerment Center, Pc |
DBA Doing business as | S.H.I.F.A. |
Authorized official | Khan, Asif Ali PSYD |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Apr 4th, 2007 |
Last updated | Aug 26th, 2008 - about 16 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1871615468 | NPPES |
Illinois | Other | 01623115 | BLUE CROSS BLUE SHIELD |
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