Organization
ARDENT COMMUNITY WELLNES CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN BAYNES (EXECUTIVE DIRECTOR)
(630) 473-3091
Entity
Organization
Contact information
Practice address
503 E JEFFERSON AVE, FAIRFIELD, IA 52556-3144
(630) 473-3091
Mailing address
684 S BARRINGTON RD, SUITE 112, STREAMWOOD, IL 60107-1841
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
IA
103TC0700X
Clinical Psychologist
—
ID
1041C0700X
Clinical Social Worker
—
IA
106H00000X
Marriage & Family Therapist
—
IA
251S00000X
Community/Behavioral Health Agency
Primary
—
IA
Other
Enumeration date
08/14/2014
Last updated
08/14/2014
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