Tazwood Mental Health Center, Inc.

LBN: Tazwood Mental Health Center, Inc.
Tazwood Mental Health Center, Inc. is an health care organization with primary practice located at 1421 Valle Vista Blvd , Pekin IL 61554. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness. Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) is the primary health care specialty. Tazwood Mental Health Center, Inc. can be contacted via phone (309) 347-5579, or through Mingus, Dave Walter via phone (309) 347-5579.

Contact Information

Primary practice address
1421 Valle Vista Blvd Pekin IL 61554
Phone: (309) 347-5579
Fax: (309) 347-4264
Website:
Map and Directions
Authorized official contact:
Name: Mingus, Dave Walter LCPC
Phone: (309) 347-5579

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X

Profile Details

NPI number 1013186683
LBN Legal business name Tazwood Mental Health Center, Inc.
DBA Doing business as
Authorized official Mingus, Dave Walter LCPC
Entity Organization
Organization subpart 1 No
Enumeration date Feb 27th, 2008
Last updated Jul 12th, 2018 - about 7 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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