Provider Demographics
NPI:1467860643
Name:ON THE MOVE SOLUTIONS, INC.
Entity Type:Organization
Organization Name:ON THE MOVE SOLUTIONS, INC.
Other - Org Name:PEACE CENTERED WHOLENESS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ORLANDO
Authorized Official - Middle Name:
Authorized Official - Last Name:DAVIS
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:888-417-0274
Mailing Address - Street 1:2938 E. 91ST STREET
Mailing Address - Street 2:SUITE 208
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60617-3868
Mailing Address - Country:US
Mailing Address - Phone:888-417-0274
Mailing Address - Fax:888-419-3986
Practice Address - Street 1:2938 E. 91ST
Practice Address - Street 2:SUITE 208
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60617-3868
Practice Address - Country:US
Practice Address - Phone:312-401-5507
Practice Address - Fax:888-419-3986
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-31
Last Update Date:2014-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL149015621101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILIL8875OtherMEDICARE PTAN