1609692276 NPI number — CHAYIL BIBLICAL COUNSELING SERVICES PLLC

Table of content: (NPI 1609692276)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1609692276 NPI number — CHAYIL BIBLICAL COUNSELING SERVICES PLLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CHAYIL BIBLICAL COUNSELING SERVICES PLLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
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Provider Other Credential Text:
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NPI Number Information

NPI Number:
1609692276
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
11/28/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4137 SAUK TRL STE 175
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
RICHTON PARK
Provider Business Mailing Address State Name:
IL
Provider Business Mailing Address Postal Code:
60471-1253
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
708-365-8106
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4137 SAUK TRL STE 175
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
RICHTON PARK
Provider Business Practice Location Address State Name:
IL
Provider Business Practice Location Address Postal Code:
60471-1253
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
708-365-8106
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/28/2024

Additional Information

Authorized Official

Authorized Official Last Name:
NEITA
Authorized Official First Name:
CECILY
Authorized Official Middle Name:
MARIE
Authorized Official Title or Position:
CEO/MENTAL HEALTH THERAPIST
Authorized Official Telephone Number:
708-265-8676

Provider Taxonomy Codes

  • Taxonomy code: 101YM0800X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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