Tazwood Mental Health Center, Inc. in Pekin - Mental Health (including Community Mental Health Center)
Tazwood Mental Health Center, Inc. - NPI 1013186683
Tazwood Mental Health Center, Inc. is a Mental Health (including Community Mental Health Center) in Pekin, Illinois. Tazwood Mental Health Center, Inc. practices all healthcare services and medical treatments related to Mental Health (including Community Mental Health Center). The NPI Number for Tazwood Mental Health Center, Inc. is 1013186683. The last update date is 2018-07-12.
Tazwood Mental Health Center, Inc.'s current location address is 1421 Valle Vista Blvd, Pekin, Illinois. You can contact this provider via phone number 3093475579 and fax number 3093474264. The mailing address for Tazwood Mental Health Center, Inc. is 1421 Valle Vista Blvd, Pekin, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Tazwood Mental Health Center, Inc. |
|---|---|
| Address | 1421 Valle Vista Blvd, Pekin, Illinois |
| Phone Number | 3093475579 |
| Fax Number | 3093474264 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Mingus Walter Dave |
| Credentials | LCPC |
| Telephone Number | 3093475579 |
NPI Number Detail
| NPI Number | 1013186683 |
|---|---|
| Provider Enumeration Date | 2008-02-27 |
| Last Updated Date | 2018-07-12 |
Provider Mailing Address Detail
| Address | 1421 Valle Vista Blvd |
|---|---|
| City | Pekin |
| State | Illinois (IL) |
| Post Code | 61554 |
| Phone Number | 3093475579 |
| Fax Number | 3093474264 |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health (including Community Mental Health Center) |
|---|---|
| Taxonomy | 261Qm0801X |
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Definition: Assesses and treats psychiatric issues, mental illnesses, and substance abuse disorders through counseling, therapy, and medication management. |
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What is the unique identifier code issued to Tazwood Mental Health Center, Inc. by the Centers for Medicare & Medicaid Services (CMS)?
The Tazwood Mental Health Center, Inc. has been assigned the NPI (National Provider Identifier) 1013186683. 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 Tazwood Mental Health Center, Inc. is located?
The Tazwood Mental Health Center, Inc. is situated at the following address: 1421 Valle Vista Blvd, Pekin, IL, 61554.
What is the Tazwood Mental Health Center, Inc.'s specialty and taxonomy code?
The Tazwood Mental Health Center, Inc.'s specialty is Mental Health (including Community Mental Health Center), and the corresponding taxonomy code is 261Qm0801X.
On what date did the Tazwood Mental Health Center, Inc. receive its 1013186683 assignment from the Centers for Medicare & Medicaid Services?
The Tazwood Mental Health Center, Inc. was assigned its 1013186683 by the Centers for Medicare & Medicaid Services on 2008-02-27.
When was the information regarding Tazwood Mental Health Center, Inc. most recently updated?
The details pertaining to the Tazwood Mental Health Center, Inc., including its address, specialty, and other relevant information, were last refreshed on 2018-07-12.
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