VITA NOBLESSE INC.
NPI 1346515244
Clinic/Center - Adolescent and Children Mental Health in Oak Forest, IL
- Organization
- Clinic/Center
- Adolescent and Children Mental Health
About VITA NOBLESSE INC.
This page provides the complete NPI Profile along with additional information for Vita Noblesse Inc., a provider established in Oak Forest, Illinois operating as a Clinic/center, focusing in adolescent and children mental health . The healthcare provider is registered in the NPI registry with number 1346515244 assigned on March 2012. The practitioner's primary taxonomy code is 261QM0855X with license number 036.126980 (IL). The provider is registered as an organization and their NPI record was last updated 14 years ago. The authorized official of this NPI record is D'loreyn Walker M.d. (President/owner)
- NPI
- 1346515244 Verify this NPI
- Provider Name
- VITA NOBLESSE INC.
- Entity Type
- Organization
- Location Address
- 6006 W. 159TH ST BLDG A, STE 2B/WEST OAK FOREST, IL 60452
- Location Phone
- (708) 941-1174
- Mailing Address
- 6006 W. 159TH ST BLDG A, STE 2B/WEST OAK FOREST, IL 60452
- Mailing Phone
- (708) 941-1174
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 03-12-2012
- Last Update Date
- 03-12-2012
- 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 Adolescent and Children Mental Health
- Taxonomy Code
- 261QM0855X
- Type
- Ambulatory Health Care Facilities
- License No.
- 036.126980
- License State
- IL
- Taxonomy Description
- An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
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 | 261QM0850X | Ambulatory Health Care Facilities | Clinic/Center | 036.126980 (IL) |
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Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
OAK FOREST, IL 60452
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1346515244, enumerated as an "organization" on March 12, 2012.
The provider is located at 6006 W. 159TH ST BLDG A, STE 2B/WEST OAK FOREST, IL 60452 and the phone number is (708) 941-1174.
Clinic/Center with taxonomy code 261QM0855X and a focus in Adolescent and Children Mental Health.
