Provider Demographics
NPI:1568729697
Name:FEINER MENTAL HEALTH, L. L. C.
Entity Type:Organization
Organization Name:FEINER MENTAL HEALTH, L. L. C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:AMANDA
Authorized Official - Middle Name:
Authorized Official - Last Name:FEINER
Authorized Official - Suffix:
Authorized Official - Credentials:NCC, LCPC
Authorized Official - Phone:847-322-9355
Mailing Address - Street 1:120 W EASTMAN ST
Mailing Address - Street 2:SUITE 305-C
Mailing Address - City:ARLINGTON HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60004-5950
Mailing Address - Country:US
Mailing Address - Phone:847-350-9113
Mailing Address - Fax:585-948-5627
Practice Address - Street 1:120 W EASTMAN ST
Practice Address - Street 2:SUITE 305-C
Practice Address - City:ARLINGTON HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60004-5937
Practice Address - Country:US
Practice Address - Phone:847-350-9113
Practice Address - Fax:585-948-5627
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-13
Last Update Date:2013-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL261QM0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)