Miracare Neuro Behavioral Health, Pc in Palos Heights - Counselor
Miracare Neuro Behavioral Health, Pc - NPI 1649329251
Miracare Neuro Behavioral Health, Pc is a Counselor in Palos Heights, Illinois. Miracare Neuro Behavioral Health, Pc practices all healthcare services and medical treatments related to Counselor. The NPI Number for Miracare Neuro Behavioral Health, Pc is 1649329251. The last update date is 2022-10-17.
Miracare Neuro Behavioral Health, Pc's current location address is 11800 S 75th Ave, Palos Heights, Illinois. You can contact this provider via phone number 7086718440 and fax number 7086718446. The mailing address for Miracare Neuro Behavioral Health, Pc is 11800 S 75th Ave, Palos Heights, Illinois. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Miracare Neuro Behavioral Health, Pc |
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Address | 11800 S 75th Ave, Palos Heights, Illinois |
Phone Number | 7086718440 |
Fax Number | 7086718446 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | PRESIDENT |
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Authorized Official Name | Higgins James Christopher |
Credentials | PSY D |
Telephone Number | 7084483300 |
NPI Number Detail
NPI Number | 1649329251 |
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Provider Enumeration Date | 2007-01-10 |
Last Updated Date | 2022-10-17 |
Provider Mailing Address Detail
Address | 11800 S 75th Ave |
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City | Palos Heights |
State | Illinois (IL) |
Post Code | 604631033 |
Phone Number | 7086718440 |
Fax Number | 7086718446 |
Provider's Primary Taxonomy Detail
Speciality | Counselor |
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Taxonomy | 101Y00000X |
Definition: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supe |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
1623882 | IL | BC BS | |
997310 | IL | MD MEDICARE |
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What is the Miracare Neuro Behavioral Health, Pc's 1649329251?
The Miracare Neuro Behavioral Health, Pc's NPI (National Provider Identifier) Number is 1649329251. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Miracare Neuro Behavioral Health, Pc located?
The Miracare Neuro Behavioral Health, Pc is located at 11800 S 75Th Ave, Palos Heights, IL 604631033.
What is the Miracare Neuro Behavioral Health, Pc's area of specialization and corresponding taxonomy classification?
The Miracare Neuro Behavioral Health, Pc's specialty field is Counselor, and it falls under the taxonomy code 101Y00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1649329251 to Miracare Neuro Behavioral Health, Pc?
The Miracare Neuro Behavioral Health, Pc received its 1649329251 assignment from the Centers for Medicare & Medicaid Services on 2007-01-10.
As of what date were the details related to Miracare Neuro Behavioral Health, Pc most recently updated or revised?
The information pertaining to Miracare Neuro Behavioral Health, Pc, including its address, specialty, and other relevant details, was last updated or revised on 2022-10-17.