Center For Change & Healing
LBN: Center For Change & Healing
Center For Change & Healing is an health care organization with primary practice located at 11S230 S Jackson St Ste 104 , Burr Ridge IL 60527-7099. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty.
Center For Change & Healing can be contacted via phone (630) 712-6042, or through Kell, Kevin via phone (630) 849-6212.
Contact Information
Primary practice address
11S230 S Jackson St Ste 104
Burr Ridge IL 60527-7099
Phone: (630) 712-6042
Fax:
Website:
Authorized official contact:
Name: Kell, Kevin Licensed Clinical Social Worker (LCSW)
Phone: (630) 849-6212
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X |
Profile Details
| NPI number | 1003570565 |
|---|---|
| LBN Legal business name | Center For Change & Healing |
| DBA Doing business as | |
| Authorized official | Kell, Kevin Licensed Clinical Social Worker (LCSW) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 29th, 2021 |
| Last updated | Oct 29th, 2021 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1003570565 | NPPES |
| Illinois | Other | 1003335076 | NPI |
| Illinois | Other | 1174883862 | NPI |
| Illinois | Other | 1023595238 | NPI |
| Illinois | Other | 1598036386 | NPI |
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