Provider Demographics
NPI:1992055081
Name:BPS FRIENDS
Entity type:Organization
Organization Name:BPS FRIENDS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARY, BOARD OF DIRECTORS
Authorized Official - Prefix:MR
Authorized Official - First Name:ALLEN
Authorized Official - Middle Name:
Authorized Official - Last Name:WEIMER
Authorized Official - Suffix:
Authorized Official - Credentials:MS, LMFT, LCPC
Authorized Official - Phone:630-365-5550
Mailing Address - Street 1:47W635 BEITH RD
Mailing Address - Street 2:
Mailing Address - City:MAPLE PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60151-8802
Mailing Address - Country:US
Mailing Address - Phone:630-365-5550
Mailing Address - Fax:630-365-9550
Practice Address - Street 1:47W635 BEITH RD
Practice Address - Street 2:
Practice Address - City:MAPLE PARK
Practice Address - State:IL
Practice Address - Zip Code:60151-8802
Practice Address - Country:US
Practice Address - Phone:630-365-5550
Practice Address - Fax:630-365-9550
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-15
Last Update Date:2012-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180006825101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty