KELLY BRENCZEWSKI NPI 1558139667

NPI Information

NPI: 1558139667
Provider Name: KELLY BRENCZEWSKI
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
2081 CALISTOGA DR STE 2N
NEW LENOX, IL
ZIP 60451
Phone: (815) 320-2410
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Kelly Brenczewski is a mental health counselor in New Lenox, IL. Kelly Brenczewski NPI is 1558139667. 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:

2081 CALISTOGA DR STE 2N
NEW LENOX, IL
ZIP 60451-833
Phone: (815) 320-2410

The enumeration date for this NPI number is 12/18/2023 and was last updated on 12/18/2023.

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	178.019349	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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