Susan R. Davis Therapies, Inc.

LBN: Susan R. Davis Therapies, Inc.
Susan R. Davis Therapies, Inc. is an health care organization with primary practice located at 3804 11Th St , Winthrop Harbor IL 60096-1461. The organization recently has 2 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, Agencies / Early Intervention Provider Agency. Agencies / Early Intervention Provider Agency is the primary health care specialty. Susan R. Davis Therapies, Inc. can be contacted via phone (847) 502-1007, or through Davis, Susan R. via phone (847) 502-1007.

Contact Information

Primary practice address
3804 11Th St Winthrop Harbor IL 60096-1461
Phone: (847) 502-1007
Fax: (815) 301-9025
Website:
Map and Directions
Authorized official contact:
Name: Davis, Susan R. LCPC
Phone: (847) 502-1007

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X 180.007623 Illinois
Agencies / Early Intervention Provider Agency 252Y00000X 180.007623 Illinois

Profile Details

NPI number 1104171917
LBN Legal business name Susan R. Davis Therapies, Inc.
DBA Doing business as
Authorized official Davis, Susan R. LCPC
Entity Organization
Organization subpart 1 No
Enumeration date Jul 17th, 2012
Last updated Jul 17th, 2012 - about 14 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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Identifiers

StateTypeNumberIssuer
All States NPI 1104171917 NPPES
Illinois Other 180.007623 ILLINOIS DEPT OF PROFESSIONAL AND FINANCIAL LICENSES
Illinois Other SS12630298P ILLINOIS DEPT OF PROFESSIONAL AND FINANCIAL LICENSES

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