<Unavail>

LBN: Carol L. Anderson
<Unavail> is an health care organization with primary practice located at 17726 Oak Park Ave Suite H, Tinley Park IL 60477-3917. The organization recently has 6 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Clinical is the primary health care specialty. Carol L. Anderson can be contacted via phone (708) 614-6190, or through Anderson, Carol L via phone (708) 614-6190.

Contact Information

Primary practice address
17726 Oak Park Ave Suite H Tinley Park IL 60477-3917
Phone: (708) 614-6190
Fax: (708) 614-6189
Website:
Map and Directions
Authorized official contact:
Name: Anderson, Carol L PSY.D.
Phone: (708) 614-6190

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Professional 101YP2500X
Behavioral Health & Social Service Providers / Clinical 103TC0700X 071-004363 Illinois
Behavioral Health & Social Service Providers / Social Worker 104100000X
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X

Profile Details

NPI number 1114229580
LBN Legal business name Carol L. Anderson
DBA Doing business as <Unavail>
Authorized official Anderson, Carol L PSY.D.
Entity Organization
Organization subpart 1 No
Enumeration date Nov 17th, 2010
Last updated Nov 17th, 2010 - about 16 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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