HERITAGE BEHAVIORAL HEALTH CENTER INC NPI 1235527524

NPI Information

NPI: 1235527524
Provider Name: HERITAGE BEHAVIORAL HEALTH CENTER, INC

Doing Business As: HERITAGE BEHAVIORAL HEALTH CENTER, INC

Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
327 W PRAIRIE AVE
DECATUR, IL
ZIP 62522
Phone: (217) 423-0548
Get Directions

HERITAGE BEHAVIORAL HEALTH CENTER, INC is a mental health (including community mental health center) clinic center in Decatur, IL. HERITAGE BEHAVIORAL HEALTH CENTER, INC NPI is 1235527524. The provider is registered as an organization entity type.
The provider Is Doing Business As Heritage Behavioral Health Center, Inc.

The provider's business location address is:

327 W PRAIRIE AVE
DECATUR, IL
ZIP 62522-444
Phone: (217) 423-0548
Fax: (217) 632-6290

The provider's authorized official is Candace Clevenger .
The authorized official title is President/ceo and has the following contact phone number (217) 420-4703.

The enumeration date for this NPI number is 1/8/2015 and was last updated on 5/10/2016.

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
1	261QM0850X	Clinic/Center	Adult Mental Health	04070	ILLINOIS	No
2	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)			Yes

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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