First Life Behavioral Health Inc. in South Holland - Clinical
First Life Behavioral Health Inc. - NPI 1598835431
First Life Behavioral Health Inc. is a Clinical in South Holland, Illinois. First Life Behavioral Health Inc. practices all healthcare services and medical treatments related to Clinical. The NPI Number for First Life Behavioral Health Inc. is 1598835431. The last update date is 2020-08-22.
First Life Behavioral Health Inc.'s current location address is 465 W 162nd St, South Holland, Illinois. You can contact this provider via phone number 7082109085 and fax number 7082109386. The mailing address for First Life Behavioral Health Inc. is 465 W 162nd St, South Holland, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | First Life Behavioral Health Inc. |
|---|---|
| Address | 465 W 162nd St, South Holland, Illinois |
| Phone Number | 7082109085 |
| Fax Number | 7082109386 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | White Johnny |
| Credentials | LCSW |
| Telephone Number | 7082109085 |
NPI Number Detail
| NPI Number | 1598835431 |
|---|---|
| Provider Enumeration Date | 2006-11-08 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 465 W 162nd St |
|---|---|
| City | South Holland |
| State | Illinois (IL) |
| Post Code | 604732010 |
| Phone Number | 7082109085 |
| Fax Number | 7082109386 |
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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What is the First Life Behavioral Health Inc.'s unique identification number?
The First Life Behavioral Health Inc. has been assigned the NPI (National Provider Identifier) Number 1598835431 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete physical location address of First Life Behavioral Health Inc.?
The First Life Behavioral Health Inc. is physically situated at 465 W 162Nd St, in the city of South Holland, state of IL, with the postal code 604732010.
What is First Life Behavioral Health Inc.'s specialized field of practice, and what is the corresponding taxonomy classification code?
The First Life Behavioral Health Inc.'s area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 1041C0700X.
When was the First Life Behavioral Health Inc.'s 1598835431 issued?
The First Life Behavioral Health Inc.'s 1598835431 was issued on 2006-11-08.
When was the information pertaining to First Life Behavioral Health Inc. most recently updated or revised?
The details related to First Life Behavioral Health Inc., including its address, specialty, and other relevant information, were last updated or revised on 2020-08-22.