Organization · NPI-2
Behavioral Healthcare Providers Ltd
Clinic/Center, Multi-Specialty · Schaumburg, IL
NPI number1043781958
StatusActive
Last updated in NPPESJul 8, 2024
Details
- NPI
- 1043781958
- Entity type
- Organization (NPI-2)
- Legal business name
- Behavioral Healthcare Providers Ltd
- Organization subpart
- No
- Enumeration date
- Dec 17, 2018
- Certification date
- Dec 6, 2022
- Last updated
- Jul 8, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM1300X | Clinic/Center, Multi-Specialty | – | – | Yes |
| 101YP2500X | Counselor, Professional | – | – | |
| 103TC0700X | Psychologist, Clinical | – | – | |
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | – | – |
Other names
- Behavioral Healthcare Providers Ltd. (Former Legal Business Name)
Practice location
1375 E Schaumburg Rd Ste 240Schaumburg, IL 60194-3643
Phone 847-895-4540 · Fax 847-895-4544
Mailing address
1375 E Schaumburg Rd Ste 240Schaumburg, IL 60194-3643
Phone 847-895-4540 · Fax 847-895-4544
Authorized official
Chrissie Garza
Billing/Credentialing
8478954540
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