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STEPHANIE MUNOZ NPI 1215563390


NPI Information

NPI: 1215563390
Provider Name: STEPHANIE MUNOZ
Classification: Community/Behavioral Health - 251S00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
8148 HESS AVE
LA GRANGE, IL
ZIP 60525
Phone: (708) 977-0723
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Stephanie Munoz is a community behavioral health in La Grange, IL with 4 years of experience. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. Stephanie Munoz NPI is 1215563390. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

8148 HESS AVE
LA GRANGE, IL
ZIP 60525-272
Phone: (708) 977-0723

The NPI 1215563390 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/20/2020 and was last updated on 10/25/2022.


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
1363A00000XPhysician Assistant085.007788ILLINOISNo
2363A00000XPhysician Assistant9109ARIZONANo
3390200000XStudent in an Organized Health Care Education/Training ProgramNo
4251S00000XCommunity/Behavioral Health9109ARIZONAYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.