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ALPHA OMEGA CHRISTIAN COUNSELING P C NPI 1972774677


NPI Information

NPI: 1972774677
Provider Name: ALPHA OMEGA CHRISTIAN COUNSELING P C

Doing Business As: ALPHA OMEGA CHRISTIAN COUNSELING

Classification: Psychologist - 103TC0700X
Entity Type: Organization

Specialization: Clinical

Address:
1914 ESIC DR
EDWARDSVILLE, IL
ZIP 62025
Phone: (618) 698-6299
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ALPHA OMEGA CHRISTIAN COUNSELING P C is a clinical psychologist in Edwardsville, IL. The provider is a psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems. ALPHA OMEGA CHRISTIAN COUNSELING P C NPI is 1972774677. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Alpha Omega Christian Counseling.

The provider's business location address is:

1914 ESIC DR
EDWARDSVILLE, IL
ZIP 62025-946
Phone: (618) 698-6299

The provider's authorized official is David M Knight .
The authorized official title is Clinical Psychologist and has the following contact phone number (618) 698-6299.

The enumeration date for this NPI number is 3/20/2008 and was last updated on 3/20/2008.


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
1103TC0700XPsychologistClinical1999140253MISSOURINo
2103TC0700XPsychologistClinicalILLINOISYes

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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