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FONTHILL BEHAVIORAL HEALTH NPI 1174078893


NPI Information

NPI: 1174078893
Provider Name: FONTHILL BEHAVIORAL HEALTH
Classification: Counselor - 101Y00000X
Entity Type: Organization
Address:
221 E KIRKWOOD AVE
SUITE 5
BLOOMINGTON, IN
ZIP 47408
Phone: (812) 727-0722
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FONTHILL BEHAVIORAL HEALTH is a counselor in Bloomington, IN. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. FONTHILL BEHAVIORAL HEALTH NPI is 1174078893. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

221 E KIRKWOOD AVE
SUITE 5
BLOOMINGTON, IN
ZIP 47408-559
Phone: (812) 727-0722

The provider's authorized official is Rob Danzman .
The authorized official title is Clinical Director and has the following contact phone number (812) 727-0722.

The enumeration date for this NPI number is 8/23/2016 and was last updated on 8/23/2016.


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
1101YM0800XCounselorMental HealthNo
2101YP2500XCounselorProfessionalNo
3101Y00000XCounselorYes

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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