QUAD CITY BEHAVIORAL HEALTH ASSOCIATES, PLLC
NPI 1174016877
Clinic/Center - Mental Health (Including Community Mental Health Center) in Rock Island, IL
- Organization
- Clinic/Center
- Mental Health (Including Community Menta...
About QUAD CITY BEHAVIORAL HEALTH ASSOCIATES, PLLC
This page provides the complete NPI Profile along with additional information for Quad City Behavioral Health Associates, Pllc, a provider established in Rock Island, Illinois operating as a Clinic/center, focusing in mental health (including community mental health center) . The healthcare provider is registered in the NPI registry with number 1174016877 assigned on June 2018. The practitioner's primary taxonomy code is 261QM0801X. The provider is registered as an organization and their NPI record was last updated 3 years ago. Quad City Behavioral Health Associates, Pllc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Brandon Alan Kutmas Lcpc, Lmhc (Ceo)
- NPI
- 1174016877 Verify this NPI
- Provider Name
- QUAD CITY BEHAVIORAL HEALTH ASSOCIATES, PLLC
- Entity Type
- Organization
- Location Address
- 4709 44TH ST STE 5 ROCK ISLAND, IL 61201
- Location Phone
- (309) 306-1648
- Location Fax
- (309) 213-9438
- Mailing Address
- 4709 44TH ST STE 5 ROCK ISLAND, IL 61201
- Mailing Phone
- (309) 558-0258
- Mailing Fax
- (309) 213-9438
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-07-2018
- Last Update Date
- 07-09-2023
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Mental Health (Including Community Mental Health Center)
- Taxonomy Code
- 261QM0801X
- Type
- Ambulatory Health Care Facilities
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 101YM0800X | Behavioral Health & Social Service Providers | Counselor | 180.011637 (IL) |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
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Other Providers at the Same Location
The following 5 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1174016877, enumerated as an "organization" on June 07, 2018.
The provider is located at 4709 44TH ST STE 5 ROCK ISLAND, IL 61201 and the phone number is (309) 306-1648.
Clinic/Center with taxonomy code 261QM0801X and a focus in Mental Health (Including Community Mental Health Center).
