Organization
SUICIDE PREVENTION SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. STEPHANIE WEBER MS, LCPC (EXECUTIVE DIRECTOR)
(630) 482-9699
Entity
Organization
Contact information
Practice address
528 S BATAVIA AVE, BATAVIA, IL 60510-2921
(630) 482-9699
(630) 482-9669
Mailing address
528 S BATAVIA AVE, BATAVIA, IL 60510-2921
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
251S00000X
Community/Behavioral Health Agency
Primary
197.000121
IL
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
10/19/2010
Last updated
03/12/2021
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