Southern Il Institute Of Behavioral Health Pc

LBN: Southern Il Institute Of Behavioral Health Pc
Southern Il Institute Of Behavioral Health Pc is an health care organization with primary practice located at 9 Junction Dr W Suite 6, Glen Carbon IL 62034-2931. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is the primary health care specialty. Southern Il Institute Of Behavioral Health Pc can be contacted via phone (618) 710-4123, or through Sashidharan, Tracy Lynn via phone (618) 710-4123.

Contact Information

Primary practice address
9 Junction Dr W Suite 6 Glen Carbon IL 62034-2931
Phone: (618) 710-4123
Fax: (618) 731-4082
Website:
Map and Directions
Authorized official contact:
Name: Sashidharan, Tracy Lynn MA, NCC, LCPC
Phone: (618) 710-4123

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 018.0007365 Illinois
Behavioral Health & Social Service Providers / Clinical 103TC0700X 071.007664 Illinois
Behavioral Health & Social Service Providers / Clinical 103TC0700X 071.007775 Illinois

Profile Details

NPI number 1346562881
LBN Legal business name Southern Il Institute Of Behavioral Health Pc
DBA Doing business as
Authorized official Sashidharan, Tracy Lynn MA, NCC, LCPC
Entity Organization
Organization subpart 1 No
Enumeration date Feb 25th, 2010
Last updated May 19th, 2012 - about 12 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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