Provider Demographics
NPI:1629492400
Name:THE FAMILY RECOVERY CENTERS - WEST, PLLC
Entity Type:Organization
Organization Name:THE FAMILY RECOVERY CENTERS - WEST, PLLC
Other - Org Name:THE CHILD, ADOLESCENT AND FAMILY RECOVERY CENTER - WEST
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:COO
Authorized Official - Prefix:MS
Authorized Official - First Name:RYANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:BRIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC, CADC
Authorized Official - Phone:847-457-6703
Mailing Address - Street 1:3150 W HIGGINS RD STE 105
Mailing Address - Street 2:
Mailing Address - City:HOFFMAN ESTATES
Mailing Address - State:IL
Mailing Address - Zip Code:60169-7250
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3100 W HIGGINS RD
Practice Address - Street 2:SUITE 175
Practice Address - City:HOFFMAN ESTATES
Practice Address - State:IL
Practice Address - Zip Code:60169-7251
Practice Address - Country:US
Practice Address - Phone:847-457-6730
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:THE CHILD, ADOLESCENT AND FAMILY RECOVERY CENTER, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-02-13
Last Update Date:2023-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YA0400X, 101YP2500X, 103TC0700X, 1041C0700X, 261QM0855X
ILA-4641-0002-A261QM0855X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental HealthGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty