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LIVING HOPE COUNSELING CENTER PC NPI 1013044478


NPI Information

NPI: 1013044478
Provider Name: LIVING HOPE COUNSELING CENTER, PC
Classification: Psychologist - 103TC0700X
Entity Type: Organization

Specialization: Clinical

Address:
535 MAINE ST
SUITE 13
QUINCY, IL
ZIP 62301
Phone: (217) 228-1887
Get Directions

LIVING HOPE COUNSELING CENTER, PC is a clinical psychologist in Quincy, IL. The provider is a psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems. LIVING HOPE COUNSELING CENTER, PC NPI is 1013044478. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

535 MAINE ST
SUITE 13
QUINCY, IL
ZIP 62301-950
Phone: (217) 228-1887
Fax: (217) 228-1884

The provider's authorized official is Cara Rae Bainum .
The authorized official title is President & Owner and has the following contact phone number (217) 228-1887.

The enumeration date for this NPI number is 2/27/2007 and was last updated on 8/11/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103T00000XPsychologist2006016141MISSOURINo
2103TC0700XPsychologistClinical071-006947ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1000015205MEDICARE PINMISSOURI
2214884MEDICARE PINMISSOURI
31427042076OTHERINDIVIDUAL NPI #
4491638904MEDICAIDMISSOURI
5000015206MEDICARE PINMISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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