South Eastern Illinois Counseling Center Inc in Olney - Addiction (substance Use Disorder)
South Eastern Illinois Counseling Center Inc - NPI 1336137199
South Eastern Illinois Counseling Center Inc is a Addiction (substance Use Disorder) in Olney, Illinois. South Eastern Illinois Counseling Center Inc practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for South Eastern Illinois Counseling Center Inc is 1336137199. The last update date is 2016-05-05.
South Eastern Illinois Counseling Center Inc's current location address is Po Box M, Olney, Illinois. You can contact this provider via phone number 6183954306 and fax number 6183954507. The mailing address for South Eastern Illinois Counseling Center Inc is Po Box M, Olney, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | South Eastern Illinois Counseling Center Inc |
|---|---|
| Address | Po Box M, Olney, Illinois |
| Phone Number | 6183954306 |
| Fax Number | 6183954507 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Jackson Glenn |
| Credentials | M.DIV., LS |
| Telephone Number | 6183954309 |
NPI Number Detail
| NPI Number | 1336137199 |
|---|---|
| Provider Enumeration Date | 2005-10-06 |
| Last Updated Date | 2016-05-05 |
Provider Mailing Address Detail
| Address | Po Box M |
|---|---|
| City | Olney |
| State | Illinois (IL) |
| Post Code | 624500913 |
| Phone Number | 6183954306 |
| Fax Number | 6183954507 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
|
Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 36037359 | IL | -- | |
| 343700207 | IL | -- | |
| 36072942 | IL | -- |
Post Comment/ Review Below
What is the unique identification code assigned to South Eastern Illinois Counseling Center Inc by the Centers for Medicare & Medicaid Services?
The South Eastern Illinois Counseling Center Inc has been issued the NPI (National Provider Identifier) 1336137199. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of South Eastern Illinois Counseling Center Inc?
The South Eastern Illinois Counseling Center Inc is physically situated at Po Box M, in the city of Olney, state of IL, with the postal code 624500913.
What is South Eastern Illinois Counseling Center Inc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for South Eastern Illinois Counseling Center Inc is Addiction (substance Use Disorder), and the taxonomy classification code that categorizes this area of expertise is 101Ya0400X.
When was the South Eastern Illinois Counseling Center Inc's 1336137199 issued?
The South Eastern Illinois Counseling Center Inc's 1336137199 was issued on 2005-10-06.
As of what date were the details pertaining to South Eastern Illinois Counseling Center Inc last refreshed?
The information related to the South Eastern Illinois Counseling Center Inc, including its address, specialty, and other relevant details, was last updated on 2016-05-05.