Organization
STAR CONSULTING SERVICES
Active
Other names
Star Behavorial Health Consulting
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHAVONDA LATRICE FIELDS (EXECUTIVE DIRECTOR/PRESIDENT)
(773) 680-0710
Entity
Organization
Contact information
Practice address
900 W 63RD PKWY, CHICAGO, IL 60621-2000
(773) 680-0710
Mailing address
6316 GARDEN VIEW LN # 1, MATTESON, IL 60443-2489
(773) 680-0710
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1477561116
NPI
—
05
—
355448094001
—
IL
Enumeration date
02/15/2019
Last updated
02/15/2019
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