Grand Prairie Services in Lynwood - Mental Health (including Community Mental Health Center)
Grand Prairie Services - NPI 1740344027
Grand Prairie Services is a Mental Health (including Community Mental Health Center) in Lynwood, Illinois. Grand Prairie Services practices all healthcare services and medical treatments related to Mental Health (including Community Mental Health Center). The NPI Number for Grand Prairie Services is 1740344027. The last update date is 2023-11-20.
Grand Prairie Services's current location address is 19707 Terrace Ave, Lynwood, Illinois. You can contact this provider via phone number 7088958057. The mailing address for Grand Prairie Services is 19707 Terrace Ave, Lynwood, Illinois. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Grand Prairie Services |
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Address | 19707 Terrace Ave, Lynwood, Illinois |
Phone Number | 7088958057 |
Fax Number | |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | PRESIDENT |
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Authorized Official Name | Regnier Dennis |
Telephone Number | 7086231501 |
NPI Number Detail
NPI Number | 1740344027 |
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Provider Enumeration Date | 2006-12-20 |
Last Updated Date | 2023-11-20 |
Provider Mailing Address Detail
Address | 19707 Terrace Ave |
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City | Lynwood |
State | Illinois (IL) |
Post Code | 604111335 |
Phone Number | 7088958057 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Mental Health (including Community Mental Health Center) |
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Taxonomy | 261Qm0801X |
Definition: Assesses and treats psychiatric issues, mental illnesses, and substance abuse disorders through counseling, therapy, and medication management. |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Grand Prairie Services by the Centers for Medicare & Medicaid Services?
The Grand Prairie Services has been assigned the NPI (National Provider Identifier) 1740344027 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Grand Prairie Services?
The Grand Prairie Services is physically situated at 19707 Terrace Ave, in the city of Lynwood, state of IL, with the postal code 604111335.
What is the Grand Prairie Services's specialty and taxonomy code?
The Grand Prairie Services's specialty is Mental Health (including Community Mental Health Center), and the corresponding taxonomy code is 261Qm0801X.
On what date did the Grand Prairie Services receive the assignment of its 1740344027 from the Centers for Medicare & Medicaid Services?
The Grand Prairie Services was issued its 1740344027 by the Centers for Medicare & Medicaid Services on 2006-12-20.
As of what date was the information pertaining to Grand Prairie Services, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Grand Prairie Services, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2023-11-20.
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