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Contact Information

ADVANCED BEHAVIORAL HEALTH P C
8600 ROUTE 91, NORTH
SUITE 240
PEORIA, IL61615
 Phone: 309-683-5094
 Fax: 309-683-5095
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for ADVANCED BEHAVIORAL HEALTH P C

NPI # 1346462850
LBN Legal business name ADVANCED BEHAVIORAL HEALTH P C
Authorized official LISA ROGERS - (PRESIDENT CLINICAL PSYCHOLOGIST)
Entity Organization
Organization subpart 1 No
Enumeration date 05/03/2007
Last updated 08/27/2007 - About 19 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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