S.a.C. Dui Counseling Center, LLC.

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

S.A.C. DUI COUNSELING CENTER, LLC.

Doing business as

S.a.C. Dui Counseling Center LLC

Practice address

400 W 76TH St Ste 326
Chicago, IL 60620-1696

Phone

(773) 891-3653

NPI assigned

Jan 31, 2020

Last updated

Apr 20, 2020By 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

Sonja CollinsNPI 1982269007

Title

Ceo

Phone

(773) 891-3653

Specialties & licenses 1

Addresses

Other names 1

• S.A.C. DUI COUNSELING CENTER LLC Doing business as

Tax ID family

Sac Dui Counseling Center LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• S.a.C. Dui Counseling Center, LLC.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Chicago, IL
  • NPI 1275196917
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sonja Ann Collins, CADC

  • Professional Counselor
  • Chicago, IL
  • NPI 1982269007
  NPD Authorized official

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

{
    "created_epoch": "1580428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587340800000",
    "number": "1275164931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 W 76TH ST STE 326",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606201696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 W 76TH ST STE 326",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606201696",
            "telephone_number": "773-891-3653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S.A.C. DUI COUNSELING CENTER, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-31",
        "last_updated": "2020-04-20",
        "certification_date": "2020-04-20",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "SONJA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "773-891-3653"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "S.A.C. DUI COUNSELING CENTER LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Mental Health Clinic/Center (Including Community Mental Health Center) in Chicago, IL
• Providers in Chicago, IL by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2020; 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.