Organization · NPI-2

Behavioral Health Care Associates Ltd

Counselor, Addiction (Substance Use Disorder) · Schaumburg, IL

NPI number1316083231

StatusActive

Last updated in NPPESJul 21, 2022

Details

NPI: 1316083231
Entity type: Organization (NPI-2)
Legal business name: Behavioral Health Care Associates Ltd
Organization subpart: No
Enumeration date: Jan 29, 2007
Last updated: Jul 21, 2022

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
101YA0400X	Counselor, Addiction (Substance Use Disorder)	–	–	Yes
101YM0800X	Counselor, Mental Health	–	–
103TB0200X	Psychologist, Cognitive & Behavioral	–	–
103TC0700X	Psychologist, Clinical	036079918	IL
2084P0800X	Psychiatry & Neurology, Psychiatry	–	–

Practice location

1375 E Schaumburg Rd
Suite 260
Schaumburg, IL 60194-3658

Phone 847-895-4540 · Fax 847-895-4544

Mailing address

1375 E Schaumburg Rd
Suite 260
Schaumburg, IL 60194-3658

Phone 847-895-4540 · Fax 847-895-4544

Authorized official

Blaise Joseph Wolfrum
Medical Director
8478954540

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