Tmhc Ep Mh

LBN: Tazwood Mental Health Center, Inc.
Tmhc Ep Mh is an health care organization with primary practice located at 111 W. Washington Street Suite 230, East Peoria IL 61611. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental 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) 694-6462, or through Mingus, Dave Walter via phone (309) 347-5579.

Contact Information

Primary practice address
111 W. Washington Street Suite 230 East Peoria IL 61611
Phone: (309) 694-6462
Fax: (309) 694-7812
Website:
Map and Directions
Authorized official contact:
Name: Mingus, Dave Walter LCPC
Phone: (309) 347-5579

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X

Profile Details

NPI number 1760508907
LBN Legal business name Tazwood Mental Health Center, Inc.
DBA Doing business as Tmhc Ep Mh
Authorized official Mingus, Dave Walter LCPC
Entity Organization
Organization subpart 1 No
Enumeration date Mar 21st, 2007
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.

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