Provider Demographics
NPI:1609222728
Name:GARNER AND ASSOCIATES, LLC
Entity Type:Organization
Organization Name:GARNER AND ASSOCIATES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ALGEAN
Authorized Official - Middle Name:
Authorized Official - Last Name:GARNER
Authorized Official - Suffix:II
Authorized Official - Credentials:PSYD
Authorized Official - Phone:773-960-3859
Mailing Address - Street 1:2 E ERIE ST
Mailing Address - Street 2:UNIT 1405
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60611-2724
Mailing Address - Country:US
Mailing Address - Phone:773-960-3859
Mailing Address - Fax:
Practice Address - Street 1:2 E ERIE ST
Practice Address - Street 2:UNIT 1405
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60611-2724
Practice Address - Country:US
Practice Address - Phone:773-960-3859
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-07
Last Update Date:2016-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL071007044251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health