NPI 1093114191

Ardent Community Wellnes Center

Organisation Community/Behavioral Health Agency Fairfield, IA

Practice location

Address: 503 E Jefferson Ave, Fairfield, IA 52556-3144
Phone: (630) 473-3091
Mailing address: 684 S Barrington Rd Suite 112, Streamwood, IL 60107-1841

Authorised official

Name: Stephen Baynes
Title: Executive Director
Phone: (630) 473-3091

Registered specialties (5)

Community/Behavioral Health Agency Primary

Agencies Taxonomy 251S00000X

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Mental Health Counselor

Behavioral Health & Social Service Providers Taxonomy 101YM0800X

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Clinical Psychologist

Behavioral Health & Social Service Providers Taxonomy 103TC0700X

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Clinical Social Worker

Behavioral Health & Social Service Providers Taxonomy 1041C0700X

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Marriage & Family Therapist

Behavioral Health & Social Service Providers Taxonomy 106H00000X

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Registry record

NPI: 1093114191
Entity type: Organization
NPI issued: 14 Aug 2014
Record last updated: 14 Aug 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.