Associates In Mental Health, Sc in Peoria - Clinical
Associates In Mental Health, Sc - NPI 1891856795
Associates In Mental Health, Sc is a Clinical in Peoria, Illinois. Associates In Mental Health, Sc practices all healthcare services and medical treatments related to Clinical. The NPI Number for Associates In Mental Health, Sc is 1891856795. The last update date is 2020-08-22.
Associates In Mental Health, Sc's current location address is 900 Main St, Peoria, Illinois. You can contact this provider via phone number 3096374266 and fax number 3096379836. The mailing address for Associates In Mental Health, Sc is 900 Main St, Peoria, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Associates In Mental Health, Sc |
|---|---|
| Address | 900 Main St, Peoria, Illinois |
| Phone Number | 3096374266 |
| Fax Number | 3096379836 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PARTNER |
|---|---|
| Authorized Official Name | Colen Emil Bradford |
| Credentials | MD |
| Telephone Number | 3096374266 |
NPI Number Detail
| NPI Number | 1891856795 |
|---|---|
| Provider Enumeration Date | 2006-12-13 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 900 Main St |
|---|---|
| City | Peoria |
| State | Illinois (IL) |
| Post Code | 616021005 |
| Phone Number | 3096374266 |
| Fax Number | 3096379836 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 319975 | IL | VALUE OPTIONS | |
| 7200526 | IL | BLUE CROSS BLUE SHIELD | |
| CN0459 | IL | RAILROAD MEDICARE |
Post Comment/ Review Below
What is the unique identifier code issued to Associates In Mental Health, Sc by the Centers for Medicare & Medicaid Services?
The Associates In Mental Health, Sc has been assigned the NPI (National Provider Identifier) 1891856795. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Associates In Mental Health, Sc is located?
The Associates In Mental Health, Sc is situated at the following address: 900 Main St, Peoria, IL, 616021005.
What is the Associates In Mental Health, Sc's specialty and taxonomy code?
The Associates In Mental Health, Sc's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
When was the Associates In Mental Health, Sc's 1891856795 issued?
The Associates In Mental Health, Sc's 1891856795 was issued on 2006-12-13.
As of what date was the information pertaining to Associates In Mental Health, Sc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Associates In Mental Health, Sc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-08-22.
NPI Number: 1720081763
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