Guardian Youth And Family Counseling
LBN: Guardian Lighthouse
Guardian Youth And Family Counseling is an health care organization with primary practice located at 460 N Main St Suite 205, Glen Ellyn IL 60137-5176. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is the primary health care specialty.
Guardian Lighthouse can be contacted via phone (847) 613-4626, or through Porter, Ryan T via phone (847) 613-4626.
Contact Information
Primary practice address
460 N Main St Suite 205
Glen Ellyn IL 60137-5176
Phone: (847) 613-4626
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 22184 | Illinois |
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 22773 | Illinois |
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 180005697 | Illinois |
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 180005201 | Illinois |
Profile Details
| NPI number | 1164793840 |
|---|---|
| LBN Legal business name | Guardian Lighthouse |
| DBA Doing business as | Guardian Youth And Family Counseling |
| Authorized official | Porter, Ryan T LCPC, CADC |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 26th, 2012 |
| Last updated | Jan 26th, 2012 - about 13 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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