MILLENNIUM BEHAVIOR HEALTH SERVICES

Provider Demographics

• NPI: 1780450643
• Name: MILLENNIUM BEHAVIOR HEALTH SERVICES
• Entity type: Organization
• Organization Name: MILLENNIUM BEHAVIOR HEALTH SERVICES
• Other - Org Name: <UNAVAIL>
• Authorized Official - Title/Position: EXECUTIVE DIRECTOR
• Authorized Official - Prefix: MRS
• Authorized Official - First Name: BRENDA
• Authorized Official - Middle Name: JOYCE
• Authorized Official - Last Name: GOLDEN
• Authorized Official - Phone: 773-306-2975
• Mailing Address - Street 1: 2441 W 79TH ST
• Mailing Address - City: CHICAGO
• Mailing Address - State: IL
• Mailing Address - Zip Code: 60652-1734
• Mailing Address - Country: US
• Mailing Address - Phone: 773-306-2975
• Mailing Address - Fax: 872-267-7166
• Practice Address - Street 1: 2441 W 79TH ST
• Practice Address - City: CHICAGO
• Practice Address - State: IL
• Practice Address - Zip Code: 60652-1734
• Practice Address - Country: US
• Practice Address - Phone: 773-306-2975
• Practice Address - Fax: 872-267-7166
• EIN: <UNAVAIL>
• Is Organization Subpart?: No
• Enumeration Date: 2023-11-30
• Last Update Date: 2025-04-17

Provider Taxonomies

Primary?	Code	Type	Classification	Specialization	Group
Yes	261QM0801X	Ambulatory Health Care Facilities	Clinic/Center	Mental Health (Including Community Mental Health Center)	Group - Multi-Specialty
No	101YA0400X	Behavioral Health & Social Service Providers	Counselor	Addiction (Substance Use Disorder)	Group - Multi-Specialty
No	174H00000X	Other Service Providers	Health Educator		Group - Multi-Specialty
No	251S00000X	Agencies	Community/Behavioral Health
No	261QC1500X	Ambulatory Health Care Facilities	Clinic/Center	Community Health
No	261QH0100X	Ambulatory Health Care Facilities	Clinic/Center	Health Service
No	261QM2800X	Ambulatory Health Care Facilities	Clinic/Center	Methadone
No	363LF0000X	Physician Assistants & Advanced Practice Nursing Providers	Nurse Practitioner	Family	Group - Multi-Specialty