Organization · Type 2 NPI
Proviso-Leyden Council for Community Action Inc
Adult Mental Health Clinic/Center · Maywood, IL
NPI number
1306653613
Active
Practice location
411 Madison St
Maywood, IL 60153-2136
Fax (708) 236-5184
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Mental Health Clinic/Center Primary | 261QM0850X | None listed |
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X | None listed |
Adult Mental Health Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
8 other providers at this address
- Plcca, Inc.Contractor Maywood, IL NPI 1134561988
- Plcca,inc.Community/Behavioral Health Agency Maywood, IL NPI 1457539223
- Proviso Leyden Council for Community ActionCommunity/Behavioral Health Agency Maywood, IL NPI 1962781971
- Proviso-Leyden Council for Community Action IncMethadone Clinic Maywood, IL NPI 1134553076
- Antony D. Greenhow, MS, LPC, NCCCounselor Maywood, IL NPI 1336724814
- Jake Clifton Kelow Iii, LSW/CADC/ATE/COPD IClinical Social Worker Maywood, IL NPI 1033981089
- Janet Tapia, LICENSE SOCIAL WORKMental Health Counselor Maywood, IL NPI 1467172965
- Mindy Ann Hermann I, MSW LSWSocial Worker Maywood, IL NPI 1487426433
About NPI 1306653613
Proviso-Leyden Council for Community Action Inc's National Provider Identifier is 1306653613, issued on Dec 11, 2024. The primary taxonomy on file is Adult Mental Health Clinic/Center (261QM0850X), and the practice location is in Maywood, IL. The record was last updated on Apr 21, 2026.