Emotion Management Program Llc in Blue Island - Mental Health

Emotion Management Program Llc - NPI 1083780522

Emotion Management Program Llc is a Mental Health in Blue Island, Illinois. Emotion Management Program Llc practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Emotion Management Program Llc is 1083780522. The last update date is 2010-07-30.

Emotion Management Program Llc's current location address is Po Box 747, Blue Island, Illinois. You can contact this provider via phone number 7084037570 and fax number 7084037546. The mailing address for Emotion Management Program Llc is Po Box 747, Blue Island, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Organization Emotion Management Program Llc
Address Po Box 747, Blue Island, Illinois
Phone Number 7084037570
Fax Number 7084037546
Sole Proprietor --
Credentials --

Authorized Official

Title or Position MANAGING P
Authorized Official Name Holmes Paul Eugene
Credentials PSY.D.
Telephone Number 7084037580

NPI Number Detail

NPI Number 1083780522
Provider Enumeration Date 2006-11-27
Last Updated Date 2010-07-30

Provider Mailing Address Detail

Address Po Box 747
City Blue Island
State Illinois (IL)
Post Code 604060747
Phone Number 7084037570
Fax Number 7084037546

Provider's Primary Taxonomy Detail

Speciality Mental Health
Taxonomy 101Ym0800X
Licence No 180000522
Definition:
A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
279826 IL MAGELLAN
1634764 IL BCBSIL PPO

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FAQs about Emotion Management Program Llc

What is the unique identifier code issued to Emotion Management Program Llc by the Centers for Medicare & Medicaid Services (CMS)?

The Emotion Management Program Llc has been assigned the NPI (National Provider Identifier) 1083780522. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Where is the Emotion Management Program Llc located?

The Emotion Management Program Llc is located at Po Box 747, Blue Island, IL 604060747.

What is the Emotion Management Program Llc's area of specialization and corresponding taxonomy classification?

The Emotion Management Program Llc's specialty field is Mental Health, and it falls under the taxonomy code 101Ym0800X, which categorizes healthcare providers based on their specialties.

On what date did the Emotion Management Program Llc receive its 1083780522 assignment from the Centers for Medicare & Medicaid Services?

The Emotion Management Program Llc was assigned its 1083780522 by the Centers for Medicare & Medicaid Services on 2006-11-27.

As of what date was the information pertaining to Emotion Management Program Llc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Emotion Management Program Llc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2010-07-30.

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