Protean Archetypes Llc

LBN: Protean Archetypes Llc
Protean Archetypes Llc is an health care organization with primary practice located at 29 S Webster St Ste 290D , Naperville IL 60540-5356. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as the primary health care specialty. Protean Archetypes Llc can be contacted via phone (630) 632-5069, or through Holland, Mary via phone (630) 632-5069.

Contact Information

Primary practice address
29 S Webster St Ste 290D Naperville IL 60540-5356
Phone: (630) 632-5069
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Holland, Mary PSY.D.
Phone: (630) 632-5069

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X

Profile Details

NPI number 1316712656
LBN Legal business name Protean Archetypes Llc
DBA Doing business as Protean Archetypes Llc
Authorized official Holland, Mary PSY.D.
Entity Organization
Organization subpart 1 No
Enumeration date Nov 16th, 2023
Last updated Apr 30th, 2024 - about 2 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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