COMMUNITY YOUTH NETWORK INC NPI 1518098771

NPI Information

NPI: 1518098771
Provider Name: COMMUNITY YOUTH NETWORK, INC
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
18640 W IL ROUTE 120
GRAYSLAKE, IL
ZIP 60030
Phone: (847) 548-6000
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COMMUNITY YOUTH NETWORK, INC is a mental health counselor in Grayslake, IL. COMMUNITY YOUTH NETWORK, INC NPI is 1518098771. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

18640 W IL ROUTE 120
GRAYSLAKE, IL
ZIP 60030
Phone: (847) 548-6000
Fax: (847) 548-6040

The provider's authorized official is Sarah Wardlow .
The authorized official title is Billing/credentialing Specialist and has the following contact phone number (847) 548-6000.

The enumeration date for this NPI number is 3/8/2007 and was last updated on 2/13/2024.

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	License Number	License State	Primary
1	104100000X	Social Worker		149001053	ILLINOIS	No
2	251S00000X	Community/Behavioral Health		5138-995-6	ILLINOIS	No
3	101YM0800X	Counselor	Mental Health			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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