Healthcare Provider Details

I. General information

NPI: 1144141870
Provider Name (Legal Business Name): THREE BIRDS MENTAL HEALTH SERVICES PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/21/2026
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2540 HAUSER ROSS DR STE 225 SUITE 225
SYCAMORE IL
60178-3176
US

IV. Provider business mailing address

2540 HAUSER ROSS DR STE 225
SYCAMORE IL
60178-3176
US

V. Phone/Fax

Practice location:
  • Phone: 815-758-8400
  • Fax: 815-758-8441
Mailing address:
  • Phone: 815-758-8400
  • Fax: 815-758-8441

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: TRICIA WARD
Title or Position: OWNER
Credential: PMHNP
Phone: 815-758-8400