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THE THRESHOLDS NPI 1447407978


NPI Information

NPI: 1447407978
Provider Name: THE THRESHOLDS

Doing Business As: SOUTH SUBURBS BLUE ISLAND APARTMENTS

Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

CLIA Number: 14D2209635

Address:
2421-2425 W 123RD ST
BLUE ISLAND, IL
ZIP 60406
Phone: (773) 572-5500
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THE THRESHOLDS is a mental health (including community mental health center) clinic center in Blue Island, IL. THE THRESHOLDS NPI is 1447407978. The provider is registered as an organization entity type.
The provider Is Doing Business As South Suburbs Blue Island Apartments.

The provider's business location address is:

2421-2425 W 123RD ST
BLUE ISLAND, IL
ZIP 60406-556
Phone: (773) 572-5500

The provider's authorized official is Marcella Klauer .
The authorized official title is Executive Assistant and has the following contact phone number (773) 572-5480.

The CLIA number assigned to this NPI record is 14D2209635 - other practitioner with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/27/2008 and was last updated on 9/10/2021.


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
1320800000XCommunity Based Residential Treatment Facility, Mental IllnessNo
2251S00000XCommunity/Behavioral HealthNo
3261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)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: 11/14/2023

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