Organization
CENTER OF ATTENTION COUNSELING SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALICEA BAILEY (CLINICAL THERAPIST)
(630) 687-0693
Entity
Organization
Contact information
Practice address
215 REMINGTON BLVD STE G2, BOLINGBROOK, IL 60440-3663
(603) 687-0693
(630) 596-1622
Mailing address
PO BOX 158, BOLINGBROOK, IL 60440-0143
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
30051
IL
101YM0800X
Mental Health Counselor
180.00998
IL
101YP2500X
Professional Counselor
Primary
180.00998
IL
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
180.009998
IL
261QM0850X
Adult Mental Health Clinic/Center
180.00998
IL
261QM0855X
Adolescent and Children Mental Health Clinic/Center
180.009998
IL
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
30051
IL
276400000X
Substance Use Disorder Rehabilitation Hospital Unit
30051
IL
3245S0500X
Children's Substance Abuse Rehabilitation Facility
30051
IL
Other
Enumeration date
08/03/2017
Last updated
08/10/2017
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