HEAD HEART THERAPY NPI 1619453610

NPI Information

NPI: 1619453610
Provider Name: HEAD HEART THERAPY
Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

Address:
4809 N RAVENSWOOD AVE UNIT 227
CHICAGO, IL
ZIP 60640
Phone: (773) 892-1933
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HEAD HEART THERAPY is a rehabilitation and substance use disorder clinic center in Chicago, IL. HEAD HEART THERAPY NPI is 1619453610. The provider is registered as an organization entity type.

The provider's business location address is:

4809 N RAVENSWOOD AVE UNIT 227
CHICAGO, IL
ZIP 60640-417
Phone: (773) 892-1933

The provider's authorized official is Gina Bruno .
The authorized official title is Financial Services and has the following contact phone number (713) 591-4311.

The enumeration date for this NPI number is 7/13/2018 and was last updated on 7/13/2018.

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
1	324500000X	Substance Abuse Rehabilitation Facility		A-8942-0002-A	ILLINOIS	No
2	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder	A-8942-0002-A	ILLINOIS	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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