AMY RUDE LSW NPI 1245516277

NPI Information

NPI: 1245516277
Provider Name: AMY RUDE, LSW
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

PECOS Registration: Yes

Address:
310 E TORRANCE AVE
PONTIAC, IL
ZIP 61764
Phone: (815) 844-6108
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Amy Rude, LSW is a mental health counselor in Pontiac, IL. Amy Rude, LSW NPI is 1245516277. 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:

310 E TORRANCE AVE
PONTIAC, IL
ZIP 61764-748
Phone: (815) 844-6108
Fax: (815) 844-3561

The NPI 1245516277 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS).

The enumeration date for this NPI number is 10/21/2011 and was last updated on 10/21/2011.

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	101YM0800X	Counselor	Mental Health	150013180	ILLINOIS	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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