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FAMILY FIRST DOMESTIC & FAMILY COUNSELING CLINIC NPI 1588148548


NPI Information

NPI: 1588148548
Provider Name: FAMILY FIRST DOMESTIC & FAMILY COUNSELING CLINIC
Classification: Clinic/Center - 261QM0850X
Entity Type: Organization

Specialization: Adult Mental Health

Address:
9522 S HALSTED ST
CHICAGO, IL
ZIP 60628
Phone: (773) 595-5794
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FAMILY FIRST DOMESTIC & FAMILY COUNSELING CLINIC is an adult mental health clinic center in Chicago, 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. FAMILY FIRST DOMESTIC & FAMILY COUNSELING CLINIC NPI is 1588148548. The provider is registered as an organization entity type.

The provider's business location address is:

9522 S HALSTED ST
CHICAGO, IL
ZIP 60628-028
Phone: (773) 595-5794

The provider's authorized official is James Brown .
The authorized official title is Credentialing Manager and has the following contact phone number (773) 852-7454.

The enumeration date for this NPI number is 9/17/2018 and was last updated on 9/15/2019.


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
1261QM0855XClinic/CenterAdolescent and Children Mental HealthNo
2261QM0850XClinic/CenterAdult Mental HealthYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.