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COMPREHENSIVE HEALTH AGENCY NURTURING GUEST ENERVATION NPI 1174779771


NPI Information

NPI: 1174779771
Provider Name: COMPREHENSIVE HEALTH AGENCY NURTURING GUEST ENERVATION

Doing Business As: C.H.A.N.G.E. OF ILLINOIS

Classification: Psychologist - 103TC0700X
Entity Type: Organization

Specialization: Clinical

Address:
14719 HALSTED ST
HARVEY, IL
ZIP 60426
Phone: (708) 331-2679
Get Directions

COMPREHENSIVE HEALTH AGENCY NURTURING GUEST ENERVATION is a clinical psychologist in Harvey, IL. The provider is a psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems. COMPREHENSIVE HEALTH AGENCY NURTURING GUEST ENERVATION NPI is 1174779771. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As C.h.a.n.g.e. Of Illinois.

The provider's business location address is:

14719 HALSTED ST
HARVEY, IL
ZIP 60426-920
Phone: (708) 331-2679

The provider's authorized official is Kimberly Kenner Wash .
The authorized official title is Director and has the following contact phone number (708) 331-2679.

The enumeration date for this NPI number is 8/14/2008 and was last updated on 8/14/2008.


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
1163W00000XRegistered Nurse041.106435ILLINOISNo
2171M00000XCase Manager/Care CoordinatorNo
3208D00000XGeneral Practice036.109938ILLINOISNo
4103TC0700XPsychologistClinical071.006944ILLINOISYes

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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