Emotion Management Program Llc in Blue Island - Clinical
Emotion Management Program Llc - NPI 1083780522
Emotion Management Program Llc is a Clinical in Blue Island, Illinois. Emotion Management Program Llc practices all healthcare services and medical treatments related to Clinical. 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 | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 71005108 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 279826 | IL | MAGELLAN | |
| 1634764 | IL | BCBSIL PPO |
Post Comment/ Review Below
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 Clinical, and it falls under the taxonomy code 103Tc0700X, 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.
NPI Number: 1124025044
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