Bethany For Children & Families
Clinic/Center, Mental Health (Including Community Mental Health Center) in Moline, IL. Organization (NPI-2).
NPI number1932178183
StatusActive
Last updated in NPPESApr 11, 2025
Details
- NPI
- 1932178183
- Entity type
- Organization (NPI-2)
- Legal business name
- Bethany For Children & Families
- Organization subpart
- No
- Enumeration date
- Mar 17, 2006
- Certification date
- Apr 11, 2025
- Last updated
- Apr 11, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | Yes |
| 101Y00000X | Counselor | – | – | |
| 101YM0800X | Counselor, Mental Health | – | – | |
| 101YS0200X | Counselor, School | – | – | |
| 104100000X | Social Worker | – | – | |
| 1041C0700X | Social Worker, Clinical | – | – | |
| 1041S0200X | Social Worker, School | – | – | |
| 122300000X | Dentist | – | – | |
| 1223D0001X | Dentist, Dental Public Health | – | – | |
| 1223G0001X | Dentist, General Practice | – | – | |
| 1223P0221X | Dentist, Pediatric Dentistry | – | – | |
| 124Q00000X | Dental Hygienist | – | – | |
| 126800000X | Dental Assistant | – | – | |
| 126900000X | Dental Laboratory Technician | – | – | |
| 251S00000X | Community/Behavioral Health | – | – |
Practice location
1701 River Dr Ste 200Moline, IL 61265-1384
Phone 309-797-7700 · Fax 309-797-2386
Mailing address
1701 River DrMoline, IL 61265-1384
Phone 309-797-7700 · Fax 309-797-2386
Authorized official
Lisa Christopher
Contracting & Credentialing Coordin
5633270203
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