ELEVATED GROUPS COUNSELING LLC NPI 1407491863

NPI Information

NPI: 1407491863
Provider Name: ELEVATED GROUPS COUNSELING LLC
Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
10436 SOUTHWEST HWY
CHICAGO RIDGE, IL
ZIP 60415
Phone: (708) 444-0304
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ELEVATED GROUPS COUNSELING LLC is a multi-specialty clinic center in Chicago Ridge, IL. ELEVATED GROUPS COUNSELING LLC NPI is 1407491863. The provider is registered as an organization entity type.

The provider's business location address is:

10436 SOUTHWEST HWY
CHICAGO RIDGE, IL
ZIP 60415-282
Phone: (708) 444-0304

The provider's authorized official is Mohammed Tarawneh .
The authorized official title is Owner and has the following contact phone number (708) 647-3333.

The enumeration date for this NPI number is 11/8/2019 and was last updated on 8/28/2020.

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 Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	261QM0850X	Clinic/Center	Adult Mental Health	No
2	261QM0855X	Clinic/Center	Adolescent and Children Mental Health	No
3	261QM1300X	Clinic/Center	Multi-Specialty	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: 5/5/2024

NPI Synchronization or Removal

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