National Provider Identifier Database

CHRISTIAN COUNSELING NFP
Professional


Contact Information

CHRISTIAN COUNSELING NFP
4047 CENTER AVE
LYONS, IL60534-1315
Phone: 773-425-1232
Fax:
Website:
Specialty Taxonomy Code
* Professional 101YP2500X
Case Management 251B00000X
Community/Behavioral Health 251S00000X
Mental Health (Including Community Mental Health Center) 261QM0801X

* Indicates primary specialty

NPI Profile & details for CHRISTIAN COUNSELING NFP

NPI Number 1003649484
Legal business name
LBN
CHRISTIAN COUNSELING NFP
Authorized official BLAKE ADAMS - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 08/21/2024
Last updated 11/22/2024 - More than a year ago
Sole proprietor1 Not specified
Identifiers
  • IL Medicaid: 1881688307
  • IL Medicaid: 1932834785

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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