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GRIEF RIVER LLC NPI 1093582306


NPI Information

NPI: 1093582306
Provider Name: GRIEF RIVER, LLC
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
800 SPRING ST STE 101
GALENA, IL
ZIP 61036
Phone: (773) 454-9176
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GRIEF RIVER, LLC is a mental health counselor in Galena, IL. GRIEF RIVER, LLC NPI is 1093582306. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

800 SPRING ST STE 101
GALENA, IL
ZIP 61036-003
Phone: (773) 454-9176

The provider's authorized official is Thomas John Dennis .
The authorized official title is Owner and has the following contact phone number (773) 454-9176.

The enumeration date for this NPI number is 12/6/2023 and was last updated on 12/7/2023.


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
1101YM0800XCounselorMental HealthYes

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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