BEHAVIORAL MEDICINE P.C NPI 1942623509

NPI Information

NPI: 1942623509
Provider Name: BEHAVIORAL MEDICINE, P.C
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
6973 REDANSA DR
ROCKFORD, IL
ZIP 61108
Phone: (815) 397-2224
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BEHAVIORAL MEDICINE, P.C is a mental health counselor in Rockford, IL. BEHAVIORAL MEDICINE, P.C NPI is 1942623509. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6973 REDANSA DR
ROCKFORD, IL
ZIP 61108-201
Phone: (815) 397-2224
Fax: (815) 397-2225

The provider's authorized official is Cynthia Hope Kindgren .
The authorized official title is Ceo and has the following contact phone number (815) 520-5142.

The enumeration date for this NPI number is 1/31/2014 and was last updated on 1/31/2014.

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	101YM0800X	Counselor	Mental Health	180004882	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: 11/14/2023

NPI Synchronization or Removal

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