| Optum Behavioral Care Therapy Services Of Illinois Pc | |
|
6392 Linden Rd Rockford IL 61109-2816 | |
| (779) 368-0060 | |
| (779) 368-0579 |
| Full Name | Optum Behavioral Care Therapy Services Of Illinois Pc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 6392 Linden Rd, Rockford, Illinois |
| Authorized Official Name and Position | Stacy Cloyd (SECRETARY) |
| Authorized Official Contact | 7633304953 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Optum Behavioral Care Therapy Services Of Illinois Pc 6392 Linden Rd Rockford IL 61109-2816 Ph: (779) 368-0060 | Optum Behavioral Care Therapy Services Of Illinois Pc 6392 Linden Rd Rockford IL 61109-2816 Ph: (779) 368-0060 |
| NPI Number | 1235949553 |
|---|---|
| Provider Enumeration Date | 01/09/2025 |
| Last Update Date | 03/07/2025 |
| Certification Date | 03/07/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235949553 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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