PROVISO LEYDEN COUNCIL FOR COMMUNITY ACTION
NPI 1962781971
Community/Behavioral Health in Maywood, IL

Q: What is Proviso Leyden Council For Community Action's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Active since August 08, 2011

411 MADISON ST, MAYWOOD, IL 60153(708) 450-3500(708) 236-5189 Get Directions Write a Review

NPPES record last updated: August 8, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Proviso Leyden Council For Community Action NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PROVISO LEYDEN COUNCIL FOR COMMUNITY ACTION (NPI 1962781971) is a healthcare organization registered as a community/behavioral health in Maywood, Illinois and active in the NPI registry since August 2011. The organization lists Evelyn Joy Coker, Dir. Of Clinical & Social Services, as its authorized official.

NPPES Registry Identity

NPI1962781971

Entity TypeOrganization

Primary Taxonomy251S00000X

Legal Business NamePROVISO LEYDEN COUNCIL FOR COMMUNITY ACTION

Location Address411 MADISON STMaywood, IL 60153-2136

Mailing Address411 Madison St, Po Box 950Maywood, IL 60153-2136 · (708) 450-3500 · Fax (708) 236-5189

Phone(708) 450-3500

Fax(708) 236-5189

Organization SubpartNo

Authorized OfficialEvelyn Joy CokerDir. Of Clinical & Social Services · (708) 450-3500

Enumeration DateAugust 8, 2011

✔ NPI 1962781971 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCommunity/Behavioral HealthAgencies

Taxonomy Code251S00000X

Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

Also ListedCase ManagementTaxonomy 251B00000X

411 MADISON ST, Maywood, IL 60153

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JAKE CLIFTON KELOW III LSW/CADC/ATE/COPD I

Social Worker (Clinical)