STEPHANIE L BRENNAN LCPC


Address: 5301 S Newland Ave, Chicago, IL 60638-1126
Phone: 7738427291

STEPHANIE L BRENNAN LCPC (NPI# 1194078014) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1194078014
Entity Type Organization
Organization Name STEPHANIE L BRENNAN LCPC
Practice Address 5301 S Newland Ave
Chicago
IL 60638-1126
Practice Telephone 7738427291
Enumeration Date 2012-10-16
Last Update Date 2012-10-16
Authorized Official Name STEPHANIE BRENNAN (OWNER)
Authorized Official Telephone 7738427291
Authorized Official Credential LCPC
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251S00000X Community/Behavioral Health 180003607 IL Agencies

Office Location

Street Address 5301 S NEWLAND AVE
City CHICAGO
State IL
Zip Code 60638-1126

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Taxonomy Information

Taxonomy Code 251S00000X
Grouping Agencies
Classification Community/Behavioral Health

Taxonomy Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition]

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Competitor

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City CHICAGO
Zip Code 60638

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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