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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.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Counselor |
101Y00000X | |||
Addiction (Substance Use Disorder) |
101YA0400X | |||
Addiction Medicine |
2084A0401X | 79 | Physician/Addiction Medicine | |
Addiction Psychiatry |
2084P0802X | 86 | Physician/Neuropsychiatry | |
Adult Mental Health |
261QM0850X | |||
Community/Behavioral Health |
251S00000X | |||
Professional |
101YP2500X |
| NPI Number | 1265982763 |
||||
| LBN Legal business name | ILLAHEE HOME CORP | ||||
| Authorized official | KELLY FROST - (COUNSELOR) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | Yes | ||||
| Enumeration date | 10/07/2016 | ||||
| Last updated | 01/07/2025 - More than a year ago | ||||
| Identifiers |
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ILLAHEE HOME CORP
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ILLAHEE HOME CORP