AN AU-SOME PLACE 2 BE LLC NPI 1053049601

NPI Information

  • NPI: 1053049601
  • Provider Name: AN AU-SOME PLACE 2 BE LLC
  • Classification: Clinic/Center - 261QM0855X
  • Specialization: Adolescent and Children Mental Health
  • Entity Type: Organization
  • Address: 14602 CLARK ST
    DOLTON, IL
    ZIP 60419
  • Phone: (773) 294-0814

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NPI Details

AN AU-SOME PLACE 2 BE LLC is an adolescent and children mental health clinic center in Dolton, IL. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. AN AU-SOME PLACE 2 BE LLC NPI is 1053049601. The provider is registered as an organization entity type.

The provider's business location address is:

14602 CLARK ST
DOLTON, IL
ZIP 60419-526
Phone: (773) 294-0814

The provider's authorized official is Valorie Kersh .
The authorized official title is Owner and has the following contact phone number (773) 294-0814.

The enumeration date for this NPI number is 8/11/2022 and was last updated on 5/6/2024.

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
1261QM0855XClinic/CenterAdolescent and Children Mental 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: 11/21/2025

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