Provider Demographics
NPI:1417586678
Name:INVISIONS BEHAVIORAL HEALTH LLC
Entity Type:Organization
Organization Name:INVISIONS BEHAVIORAL HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LASHONIA
Authorized Official - Middle Name:
Authorized Official - Last Name:PENNIX
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:773-270-3095
Mailing Address - Street 1:8211 S WOODLAWN AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60619-4519
Mailing Address - Country:US
Mailing Address - Phone:773-270-3095
Mailing Address - Fax:
Practice Address - Street 1:8211 S WOODLAWN AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60619-4519
Practice Address - Country:US
Practice Address - Phone:773-270-3095
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-08
Last Update Date:2020-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health