Black Women Invest Too LLC

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

BLACK WOMEN INVEST TOO LLC

Practice address

2310 W Starr St
Peoria, IL 61605-3240

Phone

(510) 563-9785

NPI assigned

Jun 24, 2021

Organization subpart

No

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

Authorized official

Name

Audra Stance, BA, MPANPI 1023688850

Title

Owner/Ceo

Phone

(510) 563-9785

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Audra Marie Stance, BA, MPA

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Peoria, IL
  • NPI 1023688850

  Community Based Residential Treatment Facility, Intellectual and/Or Developmental Disabilities

  NPD Authorized official

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

{
    "created_epoch": "1624492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624492800000",
    "number": "1801466636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4792",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952040792",
            "telephone_number": "510-563-9785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2310 W STARR ST",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616053240",
            "telephone_number": "510-563-9785"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2116 W Howett St",
            "address_purpose": "LOCATION",
            "city": "Peoria",
            "state": "IL",
            "postal_code": "616051507",
            "country_code": "US",
            "telephone_number": "510-563-9785",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BLACK WOMEN INVEST TOO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-24",
        "last_updated": "2021-06-24",
        "certification_date": "2021-06-24",
        "status": "A",
        "authorized_official_last_name": "STANCE",
        "authorized_official_first_name": "AUDRA",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "510-563-9785",
        "authorized_official_credential": "BA, MPA"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bethany L Bitner, M.D.
• Diane M Bittle, MSW.,LCSW
• Bixby Eye Center PC
• Krey Bixby, OD
• Cheryl Bjerke, LCPC
• Baylee Blackburn, DO
• Amy Blackmore, LCSW
• Andrea Celeste Blackwell
• Thomas Blackwell Jr., MD
• Carol Ann Blaha, LCPC

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Peoria, IL
• Providers in Peoria, IL by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2021; 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.