Tazwood Center For Wellness
LBN: Tazwood Mental Health Center, Inc.
Tazwood Center For Wellness is an health care organization with primary practice located at 601 Taylor St , East Peoria IL 61611. The organization recently has 2 registered licenses in different health care specialties including 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, David W. via phone (309) 477-5525.
Contact Information
Primary practice address
601 Taylor St
East Peoria IL 61611
Phone: (309) 347-5522
Fax: (309) 347-4264
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Community/Behavioral Health | 251S00000X | Illinois | |
| Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) | 261QM0801X |
Profile Details
| NPI number | 1538540190 |
|---|---|
| LBN Legal business name | Tazwood Mental Health Center, Inc. |
| DBA Doing business as | Tazwood Center For Wellness |
| Authorized official | Mingus, David W. Master of Arts (MA) |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Jun 9th, 2015 |
| Last updated | Jul 12th, 2018 - about 6 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 | 1538540190 | NPPES |
| Illinois | MEDICAID | 949000 |
Popular Providers
-
Human Service Center
3420 N Rochelle Ln , Peoria IL 61604-1035 -
Human Service Center
2101 W Willow Knolls Dr , Peoria IL 61614-1219 -
Human Service Center
3400 W New Leaf Ln , Peoria IL 61615-3311 -
Human Service Center
228 Ne Jefferson , Peoria IL 61603 -
Tazwood Mental Health Center, Inc.
111 W. Washington Street Suite 230, East Peoria IL 61611 -
Human Service Center
228 Ne Jefferson Ave , Peoria IL 61603-3802 -
Human Service Center
3500 W New Leaf Ln , Peoria IL 61615-3366 -
Abc Counseling & Family Services
111 W. Washington St. Suite 410B, East Peoria IL 61611