DIVERSIFIED BEHAVIORAL SERVICES NPI 1235374257

NPI Information

NPI: 1235374257
Provider Name: DIVERSIFIED BEHAVIORAL SERVICES
Classification: Counselor - 101YP2500X
Entity Type: Organization

Specialization: Professional

Address:
11070 S WESTERN AVE
CHICAGO, IL
ZIP 60643
Phone: (773) 239-9700
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DIVERSIFIED BEHAVIORAL SERVICES is a professional counselor in Chicago, IL. DIVERSIFIED BEHAVIORAL SERVICES NPI is 1235374257. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

11070 S WESTERN AVE
CHICAGO, IL
ZIP 60643-928
Phone: (773) 239-9700
Fax: (773) 239-7506

The provider's authorized official is George E. Smith .
The authorized official title is Ceo/president and has the following contact phone number (773) 239-9700.

The enumeration date for this NPI number is 12/4/2008 and was last updated on 12/4/2008.

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 Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	103TC0700X	Psychologist	Clinical	No
2	104100000X	Social Worker		No
3	1041C0700X	Social Worker	Clinical	No
4	101YP2500X	Counselor	Professional	Yes

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

NPI Synchronization or Removal

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