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LIFEHOUSE BEHAVIORAL HEALTH LLC NPI 1972298792


NPI Information

NPI: 1972298792
Provider Name: LIFEHOUSE BEHAVIORAL HEALTH, LLC

Doing Business As: LIFEHOUSE BEHAVIORAL HEALTH

Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

Address:
12761 WESTERN AVE
BLUE ISLAND, IL
ZIP 60406
Phone: (708) 897-8581
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LIFEHOUSE BEHAVIORAL HEALTH, LLC is a rehabilitation and substance use disorder clinic center in Blue Island, IL. LIFEHOUSE BEHAVIORAL HEALTH, LLC NPI is 1972298792. The provider is registered as an organization entity type.
The provider Is Doing Business As Lifehouse Behavioral Health.

The provider's business location address is:

12761 WESTERN AVE
BLUE ISLAND, IL
ZIP 60406-141
Phone: (708) 897-8581

The provider's authorized official is Daniel Edward Walsh .
The authorized official title is Ceo and has the following contact phone number (312) 451-5996.

The enumeration date for this NPI number is 4/7/2023 and was last updated on 7/20/2023.


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
1261QR0405XClinic/CenterRehabilitation, Substance Use DisorderYes

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

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