Provider Demographics
NPI:1558048272
Name:VALUES FORWARD FOR HEALTH LLC
Entity Type:Organization
Organization Name:VALUES FORWARD FOR HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:A
Authorized Official - Last Name:CLINE
Authorized Official - Suffix:
Authorized Official - Credentials:DBE, LCSW, CCM
Authorized Official - Phone:224-730-3736
Mailing Address - Street 1:202B SOUTH RANDALL RD. #6341
Mailing Address - Street 2:
Mailing Address - City:ELGIN
Mailing Address - State:IL
Mailing Address - Zip Code:60121-6341
Mailing Address - Country:US
Mailing Address - Phone:224-730-3736
Mailing Address - Fax:847-695-1437
Practice Address - Street 1:37W105 OLWIN DR
Practice Address - Street 2:
Practice Address - City:ELGIN
Practice Address - State:IL
Practice Address - Zip Code:60124-4841
Practice Address - Country:US
Practice Address - Phone:224-730-3736
Practice Address - Fax:847-695-1437
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-04
Last Update Date:2023-07-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management