Providence Counseling Associates, Llc in Naperville - Psychologist
Providence Counseling Associates, Llc - NPI 1861523680
Providence Counseling Associates, Llc is a Psychologist in Naperville, Illinois. Providence Counseling Associates, Llc practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Providence Counseling Associates, Llc is 1861523680. The last update date is 2009-03-10.
Providence Counseling Associates, Llc's current location address is 445 W Jackson Ave Ste 206, Naperville, Illinois. You can contact this provider via phone number 6304202596 and fax number 6304202796. The mailing address for Providence Counseling Associates, Llc is 445 W Jackson Ave Ste 206, Naperville, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Providence Counseling Associates, Llc |
|---|---|
| Address | 445 W Jackson Ave Ste 206, Naperville, Illinois |
| Phone Number | 6304202596 |
| Fax Number | 6304202796 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MANAGING M |
|---|---|
| Authorized Official Name | Spackey Joy Stephanie |
| Credentials | PSY.D. |
| Telephone Number | 6304202596 |
NPI Number Detail
| NPI Number | 1861523680 |
|---|---|
| Provider Enumeration Date | 2007-03-07 |
| Last Updated Date | 2009-03-10 |
Provider Mailing Address Detail
| Address | 445 W Jackson Ave Ste 206 |
|---|---|
| City | Naperville |
| State | Illinois (IL) |
| Post Code | 605405258 |
| Phone Number | 6304202596 |
| Fax Number | 6304202796 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
|
Definition: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 32240364 | IL | BLUECROSSBLUESHIELD |
Post Comment/ Review Below
What is the unique identifier code issued to Providence Counseling Associates, Llc by the Centers for Medicare & Medicaid Services (CMS)?
The Providence Counseling Associates, Llc has been assigned the NPI (National Provider Identifier) 1861523680. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete physical address where Providence Counseling Associates, Llc is located?
The Providence Counseling Associates, Llc is situated at the following address: 445 W Jackson Ave Ste 206, Naperville, IL, 605405258.
What is the area of specialization for Providence Counseling Associates, Llc, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Providence Counseling Associates, Llc is Psychologist, and the corresponding taxonomy code that categorizes this area of expertise is 103T00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1861523680 to Providence Counseling Associates, Llc?
The Centers for Medicare & Medicaid Services assigned the 1861523680 to Providence Counseling Associates, Llc on 2007-03-07.
As of what date were the Providence Counseling Associates, Llc's details last updated?
The information pertaining to the Providence Counseling Associates, Llc, including its address, specialty, and other details, was most recently updated on 2009-03-10.
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