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POSITIVE SOBRIETY INSTITUTE LLC NPI 1306249990


NPI Information

NPI: 1306249990
Provider Name: POSITIVE SOBRIETY INSTITUTE, LLC
Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization
Address:
680 N LAKE SHORE DR
SUITE 800
CHICAGO, IL
ZIP 60611
Phone: (312) 642-7230
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POSITIVE SOBRIETY INSTITUTE, LLC is a substance abuse rehabilitation facility in Chicago, IL. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. POSITIVE SOBRIETY INSTITUTE, LLC NPI is 1306249990. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

680 N LAKE SHORE DR
SUITE 800
CHICAGO, IL
ZIP 60611-546
Phone: (312) 642-7230
Fax: (312) 642-7055

The provider's authorized official is Tyeast Reynolds .
The authorized official title is Director Of Rcm and has the following contact phone number (678) 813-0428.

The enumeration date for this NPI number is 9/26/2014 and was last updated on 4/11/2019.


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
1101YA0400XCounselorAddiction (Substance Use Disorder)No
2101YM0800XCounselorMental HealthNo
3103TA0400XPsychologistAddiction (Substance Use Disorder)No
4103TB0200XPsychologistCognitive & BehavioralNo
5103TP2701XPsychologistGroup PsychotherapyNo
6106H00000XMarriage & Family TherapistNo
7324500000XSubstance Abuse Rehabilitation FacilityA-8526-001-AILLINOISYes

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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