Healthcare Provider Details

I. General information

NPI: 1629492400
Provider Name (Legal Business Name): THE FAMILY RECOVERY CENTERS - WEST, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/13/2014
Last Update Date: 05/14/2025
Certification Date: 05/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2500 W HIGGINS RD STE 170
HOFFMAN ESTATES IL
60169-7220
US

IV. Provider business mailing address

2500 W HIGGINS RD STE 170
HOFFMAN ESTATES IL
60169-7220
US

V. Phone/Fax

Practice location:
  • Phone: 847-457-6730
  • Fax:
Mailing address:
  • Phone: 847-457-6730
  • Fax: 224-353-6545

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License NumberA-4641-0002-A
License Number StateIL
# 3
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number StateNULL
# 4
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number StateNULL
# 5
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number StateNULL
# 6
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number StateNULL

VIII. Authorized Official

Name: MS. RYANNE BRIGHT
Title or Position: COO
Credential: LCPC
Phone: 847-457-6703