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FIRST LIFE BEHAVIORAL HEALTH INC. NPI 1598835431


NPI Information

NPI: 1598835431
Provider Name: FIRST LIFE BEHAVIORAL HEALTH INC.
Classification: Social Worker - 1041C0700X
Entity Type: Organization

Specialization: Clinical

Address:
465 W 162ND ST
SOUTH HOLLAND, IL
ZIP 60473
Phone: (708) 210-9085
Get Directions

FIRST LIFE BEHAVIORAL HEALTH INC. is a clinical social worker in South Holland, IL. The provider is a social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. FIRST LIFE BEHAVIORAL HEALTH INC. NPI is 1598835431. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

465 W 162ND ST
SOUTH HOLLAND, IL
ZIP 60473-010
Phone: (708) 210-9085
Fax: (708) 210-9386

The provider's authorized official is Johnny White .
The authorized official title is Ceo and has the following contact phone number (708) 210-9085.

The enumeration date for this NPI number is 11/8/2006 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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11041C0700XSocial WorkerClinicalILLINOISYes

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: 5/5/2024

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