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Itic Support Services Group Llc
Psychiatric/Mental Health Nurse Practitioner in Fairview Heights, Illinois
NPI 1972074516

Itic Support Services Group Llc is a Psychiatric/Mental Health Nurse Practitioner based in Fairview Heights, IL and is specialized in Psychiatric/Mental Health. Itic Support Services Group Llc practices in Fairview Heights, IL. The NPI Number for Itic Support Services Group Llc is 1972074516 and holds a License No. (Illinois).

The current practice location address for Itic Support Services Group Llc is 141 Market Pl, Fairview Heights, IL and can be reached out via phone at 314-238-5260.

Location: 141 Market Pl, Fairview Heights, IL, 62208-2034
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1972074516
Provider Name
Itic Support Services Group Llc
Credential
Provider Entity Type
Organization
Address
141 Market Pl, Fairview Heights, IL, 62208-2034
Phone Number
314-238-5260
Fax Number
Provider Enumeration Date
12/07/2018
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1164929055 05 IL
institution
Provider Business Practice Location Address Details
Address
141 Market Pl
City
Fairview Heights
State
Illinois
Zip
62208-2034
Phone Number
314-238-5260
Fax Number
person
Provider Business Mailing Address Details
Address
141 Market Pl
City
Fairview Heights
State
Illinois
Zip
62208-2034
Phone Number
314-238-5260
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
Clinical
Taxonomy
1041C0700X
License No.
()
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Psychiatry
Taxonomy
2084P0800X
License No.
()
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
()
Definition
Definition to come...
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