SOUTH SHORE BEHAVIORAL CONSULTANTS NPI 1669657466

NPI Information

  • NPI: 1669657466
  • Provider Name: SOUTH SHORE BEHAVIORAL CONSULTANTS
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Organization
  • Address: 369 EAST 147TH STREET SUITE E
    HARVEY, IL
    ZIP 60426
  • Phone: (708) 333-0045

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NPI Details

SOUTH SHORE BEHAVIORAL CONSULTANTS is a mental health counselor in Harvey, IL. SOUTH SHORE BEHAVIORAL CONSULTANTS NPI is 1669657466. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

369 EAST 147TH STREET SUITE E
HARVEY, IL
ZIP 60426
Phone: (708) 333-0045
Fax: (708) 333-0053

The provider's authorized official is Danetta Pittman .
The authorized official title is Vice President and has the following contact phone number (708) 333-0045.

The enumeration date for this NPI number is 12/31/2007 and was last updated on 12/31/2007.

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
1101YM0800XCounselorMental HealthILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1210865MEDICARE OSCAR/CERTIFICATIONILLINOIS

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: 3/30/2025

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