WOLF LARSON ENTERPRISES LLC NPI 1487151130

NPI Information

  • NPI: 1487151130
  • Provider Name: WOLF LARSON ENTERPRISES LLC
  • Classification: Clinic/Center - 261QM0850X
  • Specialization: Adult Mental Health
  • Entity Type: Organization
  • Address: 1932 DEER LN
    WASHINGTON, IL
    ZIP 61571
  • Phone: (309) 208-1288

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NPI Details

WOLF LARSON ENTERPRISES LLC is an adult mental health clinic center in Washington, IL. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. WOLF LARSON ENTERPRISES LLC NPI is 1487151130. The provider is registered as an organization entity type.

The provider's business location address is:

1932 DEER LN
WASHINGTON, IL
ZIP 61571-679
Phone: (309) 208-1288

The provider's authorized official is James Gibb .
The authorized official title is Owner and has the following contact phone number (309) 208-1288.

The enumeration date for this NPI number is 4/10/2018 and was last updated on 4/10/2018.

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 License Number License State Primary
1261QM0850XClinic/CenterAdult Mental HealthYes
2261QM0855XClinic/CenterAdolescent and Children Mental HealthNo

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: 11/21/2025

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