Organization
ARDENT COMMUNITY WELLNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN BAYNES (EXECUTIVE DIRECTOR)
(888) 870-1775
Entity
Organization
Contact information
Practice address
2500 W HIGGINS RD STE 105, HOFFMAN ESTATES, IL 60169-2040
(888) 870-1775
Mailing address
684 S BARRINGTON RD, SUITE 112, STREAMWOOD, IL 60107-1841
(888) 870-1775
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
103TC0700X
Clinical Psychologist
—
—
104100000X
Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
15018
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
15018
—
IL
Enumeration date
04/26/2014
Last updated
04/24/2018
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