Advance Potential Psychological Services, Llc

LBN: Advance Potential Psychological Services, Llc
Advance Potential Psychological Services, Llc is an health care organization with primary practice located at 2007 W Greenleaf Ave , Chicago IL 60645-3509. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Advance Potential Psychological Services, Llc can be contacted via phone (773) 512-8813, or through Sevier, Glenn August via phone (773) 512-8813.

Contact Information

Primary practice address
2007 W Greenleaf Ave Chicago IL 60645-3509
Phone: (773) 512-8813
Fax: (773) 743-7696
Website:
Map and Directions
Authorized official contact:
Name: Sevier, Glenn August Licensed Clinical Social Worker (LCSW)
Phone: (773) 512-8813

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1922369941
LBN Legal business name Advance Potential Psychological Services, Llc
DBA Doing business as
Authorized official Sevier, Glenn August Licensed Clinical Social Worker (LCSW)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 6th, 2012
Last updated Jul 31st, 2013 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922369941 NPPES
Illinois MEDICAID 492722592001

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