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HEARTLAND BEHAVIORAL HEALTH SC NPI 1225120421


NPI Information

NPI: 1225120421
Provider Name: HEARTLAND BEHAVIORAL HEALTH SC
Classification: Counselor - 101Y00000X
Entity Type: Organization
Address:
3116 N DRIES LANE
STE 201
PEORIA, IL
ZIP 61604
Phone: (309) 686-1147
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HEARTLAND BEHAVIORAL HEALTH SC is a counselor in Peoria, IL. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. HEARTLAND BEHAVIORAL HEALTH SC NPI is 1225120421. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3116 N DRIES LANE
STE 201
PEORIA, IL
ZIP 61604-295
Phone: (309) 686-1147
Fax: (309) 686-1185

The provider's authorized official is Andrew Jon Heritch .
The authorized official title is President and has the following contact phone number (309) 686-1147.

The enumeration date for this NPI number is 9/28/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101Y00000XCounselorYes
22084P0800XPsychiatry & NeurologyPsychiatryX

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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