Healthcare Provider Details
I. General information
NPI: 1730002155
Provider Name (Legal Business Name): BEHAVIORAL HEALTH INTEGRATION GROUP, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/03/2026
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3506 IONIA AVE
OLYMPIA FIELDS IL
60461-1315
US
IV. Provider business mailing address
3506 IONIA AVE
OLYMPIA FIELDS IL
60461-1315
US
V. Phone/Fax
- Phone: 708-439-5905
- Fax: 855-319-4004
- Phone: 708-439-5905
- Fax: 855-319-4004
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103T00000X |
| Taxonomy | Psychologist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
TYREE
BRINSON
Title or Position: MANAGING MEMBER/ OWNER
Credential: PSYD
Phone: 708-439-5905