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HERITAGE BEHAVIORAL HEALTH CENTER NPI 1942657184


NPI Information

NPI: 1942657184
Provider Name: HERITAGE BEHAVIORAL HEALTH CENTER

Doing Business As: HERITAGE AT CROSSING HEALTHCARE

Classification: Counselor - 101Y00000X
Entity Type: Organization
Address:
320 E CENTRAL AVE
DECATUR, IL
ZIP 62521
Phone: (217) 877-9117
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HERITAGE BEHAVIORAL HEALTH CENTER is a counselor in Decatur, IL. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. HERITAGE BEHAVIORAL HEALTH CENTER NPI is 1942657184. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Heritage At Crossing Healthcare.

The provider's business location address is:

320 E CENTRAL AVE
DECATUR, IL
ZIP 62521-665
Phone: (217) 877-9117
Fax: (217) 362-6290

The provider's authorized official is Candace Clevenger .
The authorized official title is President/ceo and has the following contact phone number (217) 362-6262.

The enumeration date for this NPI number is 5/18/2016 and was last updated on 5/18/2016.


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
1101Y00000XCounselor04070ILLINOISYes

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: 5/5/2024

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