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 3248 Vandever Ave , Pekin IL 61554. The organization recently has 11 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical, Nursing Service Providers / Registered Nurse, Other Service Providers / Case Manager/Care Coordinator, Allopathic & Osteopathic Physicians / Psychiatry, Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center). 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) 347-5522, or through Mingus, Dave Walter via phone (309) 347-5579.
Contact Information
Primary practice address
3248 Vandever Ave
Pekin IL 61554
Phone: (309) 347-5522
Fax: (309) 347-4264
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Counselor | 101Y00000X | ||
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | ||
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | ||
Behavioral Health & Social Service Providers / Professional | 101YP2500X | ||
Behavioral Health & Social Service Providers / Social Worker | 104100000X | ||
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | ||
Nursing Service Providers / Registered Nurse | 163W00000X | ||
Other Service Providers / Case Manager/Care Coordinator | 171M00000X | ||
Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | ||
Agencies / Community/Behavioral Health | 251S00000X | ||
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) | 261QM0801X | 04132 | Illinois |
Profile Details
NPI number | 1083671127 |
---|---|
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 | May 1st, 2006 |
Last updated | Jan 16th, 2017 - about 8 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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