Trwc

LBN: Tabularasa Integrative Health Inc
Trwc is an health care organization with primary practice located at 135 N Greenleaf St Ste 120 , Gurnee IL 60031-3334. The organization recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / Behavior Technician. Behavioral Health & Social Service Providers / Professional is the primary health care specialty. Tabularasa Integrative Health Inc can be contacted via phone (224) 430-8109, or through Barkus, Kim via phone (224) 430-8109.

Contact Information

Primary practice address
135 N Greenleaf St Ste 120 Gurnee IL 60031-3334
Phone: (224) 430-8109
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Barkus, Kim LCPC, CADC, CCTP-II
Phone: (224) 430-8109

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Professional 101YP2500X
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1285384248
LBN Legal business name Tabularasa Integrative Health Inc
DBA Doing business as Trwc
Authorized official Barkus, Kim LCPC, CADC, CCTP-II
Entity Organization
Organization subpart 1 No
Enumeration date Mar 24th, 2022
Last updated Feb 6th, 2024 - 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 1285384248 NPPES
Illinois MEDICAID 342760608001

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