Organization · Type 2 NPI

Amy Bazelon Lcpc, LLC

Community/Behavioral Health Agency · Highland Park, IL

NPI number 1124521430 Active

Practice location

839 Moseley Rd
Highland Park, IL 60035-4635

Specialties and licenses

TaxonomyCodeLicense
Community/Behavioral Health Agency Primary 251S00000X180.010546 (IL)

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, 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 suppo…

2 other providers at this address

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About NPI 1124521430

Amy Bazelon Lcpc, LLC's National Provider Identifier is 1124521430, issued on Mar 13, 2018. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Highland Park, IL. The record was last updated on Oct 28, 2021.