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ILLAHEE HOME CORP NPI 1265982763


NPI Information

NPI: 1265982763
Provider Name: ILLAHEE HOME CORP

Doing Business As: BELAIR CLINIC

Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
1155 N STATE ST
BELLINGHAM, WA
ZIP 98225
Phone: (360) 676-4485
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ILLAHEE HOME CORP is a community behavioral health in Bellingham, WA. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. ILLAHEE HOME CORP NPI is 1265982763. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Belair Clinic.

The provider's business location address is:

1155 N STATE ST
BELLINGHAM, WA
ZIP 98225-037
Phone: (360) 676-4485

The provider's authorized official is Kelly Ryan Frost .
The authorized official title is Counselor and has the following contact phone number (360) 676-4485.

The enumeration date for this NPI number is 10/7/2016 and was last updated on 7/29/2022.


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
1101Y00000XCounselorNo
2101YA0400XCounselorAddiction (Substance Use Disorder)No
3101YP2500XCounselorProfessionalNo
42084A0401XPsychiatry & NeurologyAddiction MedicineNo
52084P0802XPsychiatry & NeurologyAddiction PsychiatryNo
6261QM0850XClinic/CenterAdult Mental HealthNo
7251S00000XCommunity/Behavioral HealthCO60545681WASHINGTONYes

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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