MARS VALLON LCSW PLLC
NPI 1215759329
Clinic/Center - Adult Mental Health in Chicago, IL
- Organization
- Clinic/Center
- Adult Mental Health
About MARS VALLON LCSW PLLC
This page provides the complete NPI Profile along with additional information for Mars Vallon Lcsw Pllc, a provider established in Chicago, Illinois operating as a Clinic/center, focusing in adult mental health . The healthcare provider is registered in the NPI registry with number 1215759329 assigned on October 2024. The practitioner's primary taxonomy code is 261QM0850X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Mars Vallon Lcsw (Owner)
- NPI
- 1215759329 Verify this NPI
- Provider Name
- MARS VALLON LCSW PLLC
- Entity Type
- Organization
- Location Address
- 1509 W BERWYN AVE STE 202 CHICAGO, IL 60640
- Location Phone
- (872) 222-7182
- Mailing Address
- 1327 W FARWELL AVE APT 3 CHICAGO, IL 60626
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-29-2024
- Last Update Date
- 01-23-2025
- 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 Adult Mental Health
- Taxonomy Code
- 261QM0850X
- Type
- Ambulatory Health Care Facilities
- Taxonomy Description
- An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1215759329, enumerated as an "organization" on October 29, 2024.
The provider is located at 1509 W BERWYN AVE STE 202 CHICAGO, IL 60640 and the phone number is (872) 222-7182.
Clinic/Center with taxonomy code 261QM0850X and a focus in Adult Mental Health.