Organization · NPI-2
Ceridian Behavioral Health, LLC
Case Manager/Care Coordinator · Springfield, IL
NPI number1891609251
StatusActive
Last updated in NPPESOct 6, 2026
Details
- NPI
- 1891609251
- Entity type
- Organization (NPI-2)
- Legal business name
- Ceridian Behavioral Health, LLC
- Organization subpart
- No
- Enumeration date
- Oct 1, 2026
- Certification date
- Oct 6, 2026
- Last updated
- Oct 6, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | – | – | Yes |
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – |
Practice location
2501 Chatham Rd Ste NSpringfield, IL 62704-4188
Phone 314-249-9697
Mailing address
2501 Chatham Rd Ste NSpringfield, IL 62704-4188
Phone 314-249-9697
Authorized official
Racquel Forrester
Ceo
3142499697
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