Grand Oaks Behavioral Health Llc in Libertyville - Clinical
Grand Oaks Behavioral Health Llc - NPI 1124242359
Grand Oaks Behavioral Health Llc is a Clinical in Libertyville, Illinois. Grand Oaks Behavioral Health Llc practices all healthcare services and medical treatments related to Clinical. The NPI Number for Grand Oaks Behavioral Health Llc is 1124242359. The last update date is 2021-10-06.
Grand Oaks Behavioral Health Llc's current location address is 1800 Hollister Dr, Libertyville, Illinois. You can contact this provider via phone number 8475491189 and fax number 8479324066. The mailing address for Grand Oaks Behavioral Health Llc is 1800 Hollister Dr, Libertyville, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Grand Oaks Behavioral Health Llc |
|---|---|
| Address | 1800 Hollister Dr, Libertyville, Illinois |
| Phone Number | 8475491189 |
| Fax Number | 8479324066 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CLINICAL D |
|---|---|
| Authorized Official Name | Shakhman Marina |
| Credentials | PSY.D. |
| Telephone Number | 8475491189 |
NPI Number Detail
| NPI Number | 1124242359 |
|---|---|
| Provider Enumeration Date | 2007-04-11 |
| Last Updated Date | 2021-10-06 |
Provider Mailing Address Detail
| Address | 1800 Hollister Dr |
|---|---|
| City | Libertyville |
| State | Illinois (IL) |
| Post Code | 600485263 |
| Phone Number | 8475491189 |
| Fax Number | 8479324066 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
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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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What is the unique identification code assigned to Grand Oaks Behavioral Health Llc by the Centers for Medicare & Medicaid Services?
The Grand Oaks Behavioral Health Llc has been issued the NPI (National Provider Identifier) 1124242359. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Grand Oaks Behavioral Health Llc?
The Grand Oaks Behavioral Health Llc is situated at 1800 Hollister Dr, in the city of Libertyville, state of IL, with the zip code 600485263.
What is the Grand Oaks Behavioral Health Llc's area of specialization and corresponding taxonomy classification?
The Grand Oaks Behavioral Health 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 was the 1124242359 assigned to Grand Oaks Behavioral Health Llc?
The Grand Oaks Behavioral Health Llc was issued its 1124242359 on 2007-04-11, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Grand Oaks Behavioral Health Llc most recently updated or revised?
The details related to Grand Oaks Behavioral Health Llc, including its address, specialty, and other relevant information, were last updated or revised on 2021-10-06.