Provider Demographics
NPI:1043777055
Name:VIRTUE BEHAVIOR CONSULTANTS, INC.
Entity Type:Organization
Organization Name:VIRTUE BEHAVIOR CONSULTANTS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TERRI
Authorized Official - Middle Name:
Authorized Official - Last Name:THIEMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-203-2183
Mailing Address - Street 1:2063 LIMESTONE LN
Mailing Address - Street 2:
Mailing Address - City:CARPENTERSVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60110-1239
Mailing Address - Country:US
Mailing Address - Phone:847-702-2183
Mailing Address - Fax:847-551-5916
Practice Address - Street 1:2063 LIMESTONE LN
Practice Address - Street 2:
Practice Address - City:CARPENTERSVILLE
Practice Address - State:IL
Practice Address - Zip Code:60110-1239
Practice Address - Country:US
Practice Address - Phone:847-702-2183
Practice Address - Fax:847-551-5916
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-26
Last Update Date:2019-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty