Constructive Changes Licensed Clinical Social Worker Services

LBN: Constructive Changes Licensed Clinical Social Worker Services
Constructive Changes Licensed Clinical Social Worker Services is an health care organization with primary practice located at 44 E Main St Ste 406 , Champaign IL 61820-3649. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Constructive Changes Licensed Clinical Social Worker Services can be contacted via phone (217) 615-0350, or through Quintanilla, Alex via phone (217) 615-0350.

Contact Information

Primary practice address
44 E Main St Ste 406 Champaign IL 61820-3649
Phone: (217) 615-0350
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Quintanilla, Alex
Phone: (217) 615-0350

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1417630757
LBN Legal business name Constructive Changes Licensed Clinical Social Worker Services
DBA Doing business as
Authorized official Quintanilla, Alex
Entity Organization
Organization subpart 1 No
Enumeration date Aug 14th, 2023
Last updated Aug 14th, 2023 - about 3 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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