SOUTH SHORE BEHAVIORAL CONSULTANTS (NPI# 1669657466) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669657466 |
| Entity Type | Organization |
| Organization Name | SOUTH SHORE BEHAVIORAL CONSULTANTS |
| Practice Address |
369 East 147th Street Suite E Harvey IL 60426 |
| Mailing Address |
369 E 147th St Ste E Harvey IL 60426-2593 |
| Practice Telephone | 7083330045 |
| Practice Fax Number | 7083330053 |
| Mailing Telephone | 7083330045 |
| Mailing Fax Number | 7083330053 |
| Enumeration Date | 2007-12-31 |
| Last Update Date | 2007-12-31 |
| Authorized Official Name | MRS. DANETTA PITTMAN (VICE PRESIDENT) |
| Authorized Official Telephone | 7083330045 |
| Authorized Official Credential | QMHP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
IL | Behavioral Health & Social Service Providers |
| Street Address |
369 EAST 147TH STREET SUITE E |
| City | HARVEY |
| State | IL |
| Zip Code | 60426 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295377471 | Carol E Gillett | Technician | 14607 Jefferson St., Harvey, IL 60426 | 2019-10-09 |
| 1356866479 | Zzm Investments Inc | Non-emergency Medical Transport (VAN) | 16429 Halsted St, Harvey, IL 60426 | 2017-08-09 |
| 1639628225 | Scottlab, Ltd. | Clinical Medical Laboratory | 71 W 156th St Ste 206a, Harvey, IL 60426 | 2016-09-24 |
| 1043608631 | Yvette M. Johnson | Nurse Practitioner | 31 W. 155th Street, Harvey, IL 60426 | 2015-01-05 |
| 1558665539 | Phillip T Robinson | Contractor | 16001 Marshfield St, Harvey, IL 60426 | 2011-01-05 |
| 1770784670 | County of Cook Harvey Public School District 152 | Local Education Agency (LEA) | 152nd Myrtle St, Harvey, IL 60426 | 2007-05-29 |
| 1518180678 | Associated Medical Center Sc | Family Medicine | 15900 So Carol Avenue, Harvey, IL 60426 | 2007-04-10 |
| 1336269133 | Cook County | Clinic/Center | 650 E Phoenix Center Dr, Phoenix, IL 60426 | 2007-03-29 |
| 1932243433 | Michael T Jones Dmd Ltd | Dentist | 15335 Page Ave, Harvey, IL 60426 | 2007-02-16 |
| 1740334663 | Pedro Carlos A Cruz | Internal Medicine | 650 E. Phoenix Center Drive, Phoenix, IL 60426 | 2007-01-22 |
| Find all providers in zip 60426 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376180059 | Testimonial Counseling Services, LLC | Counselor | 1901 Manhattan Blvd Ste 208, Building D, Harvey, LA 70058-3582 | 2019-12-02 |
| 1790244481 | Latoya Burns | Counselor | 2018 Lac La Belle Dr, Harvey, LA 70058-5235 | 2019-03-13 |
| 1205306362 | Myrtis Robins | Counselor | 2213 Litchwood Ln, Harvey, LA 70058-2218 | 2018-12-03 |
| 1275023087 | Michael Ellis | Counselor | 3820 Melissa Dr, Harvey, LA 70058 | 2018-05-16 |
| 1639675820 | Impact Counseling & Support Services LLC | Counselor | 1901 Manhattan Blvd Bldg D306, Harvey, LA 70058-3582 | 2018-04-05 |
| 1720595804 | Alkeisha Lachelle Clark | Counselor | 4209 L Ac Couture Dr., D, Harvey, LA 70058 | 2018-01-10 |
| 1629582937 | Tessie Hart | Counselor | 426 Manhattan Blvd., Harvey, LA 70058 | 2017-11-22 |
| 1326557562 | Lauretta Anne Gavin | Counselor | 2439 Manhattan Blvd., Suite 207, Harvey, LA 70058 | 2017-09-20 |
| 1356868046 | Devin Andrew | Counselor | 8 Tulleries Garden Ln, Harvey, LA 70058-6555 | 2017-08-24 |
| 1760908792 | Eboni Dillon | Counselor | 3148 Keith Way Dr, Harvey, LA 70058 | 2017-08-22 |
| Find all providers in HARVEY | ||||
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| 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.