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Contact Information

PREMIER MENTAL HEALTH SERVICES
1187 27TH ST
MOLINE, IL61265
 Phone: 563-451-4041
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for PREMIER MENTAL HEALTH SERVICES

NPI Number 1376364034
LBN Legal business name PREMIER MENTAL HEALTH SERVICES
Authorized official NICHOLAS WISSING - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/24/2024
Last updated 10/24/2024 - More than a year 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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