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
Address 19707 Terrace Ave, Lynwood, Illinois
Phone Number 7088958057
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Regnier Dennis
Telephone Number 7086231501

NPI Number Detail

NPI Number 1740344027
Provider Enumeration Date 2006-12-20
Last Updated Date 2023-11-20

Provider Mailing Address Detail

Address 19707 Terrace Ave
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)
Taxonomy 261Qm0801X
Definition:
Assesses and treats psychiatric issues, mental illnesses, and substance abuse disorders through counseling, therapy, and medication management.

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FAQs about Grand Prairie Services

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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