Eventide Wellness Inc

LBN: Eventide Wellness Inc
Eventide Wellness Inc is an health care organization with primary practice located at 7021 W 153Rd St Ste 5 , Orland Park IL 60462-5397. The organization recently has only one registered license in Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), which is considered as the primary health care specialty. Eventide Wellness Inc can be contacted via phone (708) 381-5009, or through Jenkins, Timothy Michael via phone (708) 275-0934.

Contact Information

Primary practice address
7021 W 153Rd St Ste 5 Orland Park IL 60462-5397
Phone: (708) 381-5009
Fax: (888) 419-1594
Website:
Map and Directions
Authorized official contact:
Name: Jenkins, Timothy Michael LCPC
Phone: (708) 275-0934

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X

Profile Details

NPI number 1033714753
LBN Legal business name Eventide Wellness Inc
DBA Doing business as
Authorized official Jenkins, Timothy Michael LCPC
Entity Organization
Organization subpart 1 No
Enumeration date Dec 1st, 2020
Last updated Dec 1st, 2020 - about 6 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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