INGRAM COUNSELING SERVICES LLC NPI 1720569726

NPI Information

NPI: 1720569726
Provider Name: INGRAM COUNSELING SERVICES, LLC
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
1161 FORTUNE BLVD STE 400
SHILOH, IL
ZIP 62269
Phone: (314) 722-8281
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INGRAM COUNSELING SERVICES, LLC is a mental health (including community mental health center) clinic center in Shiloh, IL. INGRAM COUNSELING SERVICES, LLC NPI is 1720569726. The provider is registered as an organization entity type.

The provider's business location address is:

1161 FORTUNE BLVD STE 400
SHILOH, IL
ZIP 62269-385
Phone: (314) 722-8281
Fax: (618) 206-8476

The provider's authorized official is Angela M Ingram .
The authorized official title is Lcpc/counselor and has the following contact phone number (314) 722-8281.

The enumeration date for this NPI number is 8/27/2018 and was last updated on 8/27/2018.

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
1	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	180.010041	ILLINOIS	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: 4/28/2024

NPI Synchronization or Removal

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