BETHANY FOR CHILDREN & FAMILIES NPI 1174228639

NPI Information

NPI: 1174228639
Provider Name: BETHANY FOR CHILDREN & FAMILIES
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
1701 RIVER DR STE 200
MOLINE, IL
ZIP 61265
Phone: (309) 797-7700
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BETHANY FOR CHILDREN & FAMILIES is a mental health (including community mental health center) clinic center in Moline, IL. BETHANY FOR CHILDREN & FAMILIES NPI is 1174228639. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1701 RIVER DR STE 200
MOLINE, IL
ZIP 61265-384
Phone: (309) 797-7700
Fax: (309) 797-2386

The provider's authorized official is Lisa Christopher .
The authorized official title is Executive Assistant and has the following contact phone number (563) 327-0203.

The enumeration date for this NPI number is 4/4/2023 and was last updated on 1/16/2024.

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	Primary
1	101Y00000X	Counselor		No
2	101YM0800X	Counselor	Mental Health	No
3	101YP2500X	Counselor	Professional	No
4	104100000X	Social Worker		No
5	1041C0700X	Social Worker	Clinical	No
6	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	Yes

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
1	1B00-IPI-014	MEDICAID	ILLINOIS

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

NPI Synchronization or Removal

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