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AMY TANNER LLC NPI 1437758406


NPI Information

NPI: 1437758406
Provider Name: AMY TANNER LLC
Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
4305 N LINCOLN AVE STE K
CHICAGO, IL
ZIP 60618
Phone: (773) 430-1075
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AMY TANNER LLC is a community behavioral health in Chicago, IL. 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. AMY TANNER LLC NPI is 1437758406. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4305 N LINCOLN AVE STE K
CHICAGO, IL
ZIP 60618-807
Phone: (773) 430-1075

The provider's authorized official is Amy E Tanner .
The authorized official title is Social Worker and has the following contact phone number (773) 430-1075.

The enumeration date for this NPI number is 10/21/2020 and was last updated on 10/21/2020.


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
11041C0700XSocial WorkerClinicalNo
2251S00000XCommunity/Behavioral HealthYes

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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