Leonard Pink is a Mental Health in Rockford, Illinois. Leonard Pink practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Leonard Pink is 1366450629. The last update date is 2007-07-08.
Leonard Pink's current location address is 6975 Redansa Dr, Rockford, Illinois. You can contact this provider via phone number 8153987000 and fax number 8153950671. The mailing address for Leonard Pink is 6975 Redansa Dr, Rockford, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Leonard Pink |
|---|---|
| Address | 6975 Redansa Dr, Rockford, Illinois |
| Phone Number | 8153987000 |
| Fax Number | 8153950671 |
| Sole Proprietor | Y |
| Credentials | LCSW MSW |
NPI Number Detail
| NPI Number | 1366450629 |
|---|---|
| Provider Enumeration Date | 2006-08-03 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 6975 Redansa Dr |
|---|---|
| City | Rockford |
| State | Illinois (IL) |
| Post Code | 611081201 |
| Phone Number | 8153987000 |
| Fax Number | 8153950671 |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health |
|---|---|
| Taxonomy | 101Ym0800X |
| Licence No | 149001589 |
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Definition: A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 10106635 | IL | BCBS |
Post Comment/ Review Below
What is the Leonard Pink's 1366450629?
The Leonard Pink's NPI (National Provider Identifier) Number is 1366450629. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Leonard Pink's facilities are geographically located?
The facilities of Leonard Pink are physically situated at the following location: 6975 Redansa Dr, Rockford, IL, 611081201.
What is Leonard Pink's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Leonard Pink is Mental Health, and the taxonomy code that categorizes this field of expertise is 101Ym0800X.
On what date did the Centers for Medicare & Medicaid Services assign the 1366450629 to Leonard Pink?
The Centers for Medicare & Medicaid Services assigned the 1366450629 to Leonard Pink on 2006-08-03.
As of what date was the information regarding Leonard Pink, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Leonard Pink, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.