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Contact Information

HARRISBURG COUNSELING CENTER LLC
100 DR WARREN TUTTLE DRIVE
HARRISBURG, IL62946
 Phone: 618-252-4956
 Fax: 618-252-2032
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
Indicates primary specialty

NPI Profile & details for HARRISBURG COUNSELING CENTER LLC

NPI # 1336179951
LBN Legal business name HARRISBURG COUNSELING CENTER LLC
Authorized official MARIO GOSPODINOFF - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 07/03/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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