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RIVERBEND HEAD START & FAMILY SERVICES NPI 1164476115


NPI Information

NPI: 1164476115
Provider Name: RIVERBEND HEAD START & FAMILY SERVICES

Other Name: TRANSITIONS COUNSELING

Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
3550 COLLEGE AVE
STE C
ALTON, IL
ZIP 62002
Phone: (618) 463-5927
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RIVERBEND HEAD START & FAMILY SERVICES is a mental health counselor in Alton, IL. RIVERBEND HEAD START & FAMILY SERVICES NPI is 1164476115. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Transitions Counseling.

The provider's business location address is:

3550 COLLEGE AVE
STE C
ALTON, IL
ZIP 62002-304
Phone: (618) 463-5927
Fax: (618) 463-5965

The provider's authorized official is Monica Moffet .
The authorized official title is Clinical Director and has the following contact phone number (618) 463-5927.

The enumeration date for this NPI number is 5/22/2006 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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YM0800XCounselorMental HealthYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
13741717016MEDICAIDILLINOIS

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.