Self Empowerment Center, P.C. in Wheaton - Adult Mental Health

Self Empowerment Center, P.C. - NPI 1134301815

Self Empowerment Center, P.C. is a Adult Mental Health in Wheaton, Illinois. Self Empowerment Center, P.C. practices all healthcare services and medical treatments related to Adult Mental Health. The NPI Number for Self Empowerment Center, P.C. is 1134301815. The last update date is 2008-09-02.

Self Empowerment Center, P.C.'s current location address is 1751 S Naperville Rd, Wheaton, Illinois. You can contact this provider via phone number 6307748316 and fax number 6306903353. The mailing address for Self Empowerment Center, P.C. is 1751 S Naperville Rd, Wheaton, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Organization Self Empowerment Center, P.C.
Address 1751 S Naperville Rd, Wheaton, Illinois
Phone Number 6307748316
Fax Number 6306903353
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Khan A Asif
Credentials PSY.D
Telephone Number 6307748316

NPI Number Detail

NPI Number 1134301815
Provider Enumeration Date 2007-12-04
Last Updated Date 2008-09-02

Provider Mailing Address Detail

Address 1751 S Naperville Rd
City Wheaton
State Illinois (IL)
Post Code 601895896
Phone Number 6307748316
Fax Number 6306903353

Provider's Primary Taxonomy Detail

Speciality Adult Mental Health
Taxonomy 261Qm0850X
Licence No 071-005466
Definition:
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1623115 IL BLUE CROSS BLUE SHIELD

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FAQs about Self Empowerment Center, P.C.

What is the Self Empowerment Center, P.C.'s unique identification number?

The Self Empowerment Center, P.C. has been assigned the NPI (National Provider Identifier) Number 1134301815 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 Self Empowerment Center, P.C.?

The Self Empowerment Center, P.C. is physically situated at 1751 S Naperville Rd, in the city of Wheaton, state of IL, with the postal code 601895896.

What is Self Empowerment Center, P.C.'s specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Self Empowerment Center, P.C. is Adult Mental Health, and the taxonomy code that classifies this field of practice is 261Qm0850X.

When did the Self Empowerment Center, P.C. receive its 1134301815?

The Self Empowerment Center, P.C. was issued its 1134301815 on 2007-12-04, which is the date when the organization was assigned this unique identifier.

As of what date was the information regarding Self Empowerment Center, P.C., such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Self Empowerment Center, P.C., including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-09-02.

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