An Au-Some Place 2 Be LLC

Primary specialty

Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X

Legal business name

AN AU-SOME PLACE 2 BE LLC

Practice address

14602 Clark St
Dolton, IL 60419-1526

Phone

(773) 294-0814

NPI assigned

Aug 11, 2022

Last updated

May 6, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Valorie Kersh

Title

Owner

Phone

(773) 294-0814

Specialties & licenses 1

Addresses

Electronic endpoints 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1660176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714953600000",
    "number": "1053049601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14602 CLARK ST",
            "city": "DOLTON",
            "state": "IL",
            "postal_code": "604191526",
            "telephone_number": "773-294-0814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14602 CLARK ST",
            "city": "DOLTON",
            "state": "IL",
            "postal_code": "604191526",
            "telephone_number": "773-294-0814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AN AU-SOME PLACE 2 BE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-11",
        "last_updated": "2024-05-06",
        "certification_date": "2024-05-06",
        "status": "A",
        "authorized_official_last_name": "KERSH",
        "authorized_official_first_name": "VALORIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-294-0814"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "anausomeplace2b@gmail.com",
            "affiliation": "N",
            "address_1": "14602 Clark St",
            "city": "Dolton",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604191526",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Adolescent and Children Mental Health Clinic/Center in Dolton, IL
• Providers in Dolton, IL by specialty
• Adolescent and Children Mental Health Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.