BROOKHAVEN COUNSELING GROUP LLC NPI 1972199099

NPI Information

NPI: 1972199099
Provider Name: BROOKHAVEN COUNSELING GROUP, LLC
Classification: Clinic/Center - 261QM0850X
Entity Type: Organization

Specialization: Adult Mental Health

Address:
2209 W WINONA ST UNIT 2
CHICAGO, IL
ZIP 60625
Phone: (847) 652-0902
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BROOKHAVEN COUNSELING GROUP, LLC 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. BROOKHAVEN COUNSELING GROUP, LLC NPI is 1972199099. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2209 W WINONA ST UNIT 2
CHICAGO, IL
ZIP 60625-831
Phone: (847) 652-0902

The provider's authorized official is Meredyth Brook .
The authorized official title is Ceo And Lead Therapist and has the following contact phone number (476) 520-0902.

The enumeration date for this NPI number is 12/13/2020 and was last updated on 12/13/2020.

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			No
2	261QM0850X	Clinic/Center	Adult Mental Health			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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