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VISIONS FOR CHANGE COUNSELING CENTER PC NPI 1336357003


NPI Information

NPI: 1336357003
Provider Name: VISIONS FOR CHANGE COUNSELING CENTER, PC
Classification: Psychologist - 103TC0700X
Entity Type: Organization

Specialization: Clinical

Address:
9510 S CONSTANCE AVE
SUITE C6
CHICAGO, IL
ZIP 60617
Phone: (773) 510-0104
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VISIONS FOR CHANGE COUNSELING CENTER, PC is a clinical psychologist in Chicago, IL. The provider is a psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems. VISIONS FOR CHANGE COUNSELING CENTER, PC NPI is 1336357003. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

9510 S CONSTANCE AVE
SUITE C6
CHICAGO, IL
ZIP 60617-700
Phone: (773) 510-0104
Fax: (773) 731-9711

The provider's authorized official is Richara C. Jennings .
The authorized official title is Administrative Director and has the following contact phone number (773) 238-1992.

The enumeration date for this NPI number is 5/18/2007 and was last updated on 3/13/2009.


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
1103TC0700XPsychologistClinical071007563ILLINOISYes

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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