Moultrie County Mental Health Center in Sullivan - Addiction (substance Use Disorder)
Moultrie County Mental Health Center - NPI 1811025240
Moultrie County Mental Health Center is a Addiction (substance Use Disorder) in Sullivan, Illinois. Moultrie County Mental Health Center practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Moultrie County Mental Health Center is 1811025240. The last update date is 2016-07-25.
Moultrie County Mental Health Center's current location address is 12 W Harrison St, Sullivan, Illinois. You can contact this provider via phone number 2177284358 and fax number 2177282270. The mailing address for Moultrie County Mental Health Center is 12 W Harrison St, Sullivan, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Moultrie County Mental Health Center |
|---|---|
| Address | 12 W Harrison St, Sullivan, Illinois |
| Phone Number | 2177284358 |
| Fax Number | 2177282270 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Cole L. David |
| Credentials | MSW, LCSW |
| Telephone Number | 2177284358 |
NPI Number Detail
| NPI Number | 1811025240 |
|---|---|
| Provider Enumeration Date | 2007-02-28 |
| Last Updated Date | 2016-07-25 |
Provider Mailing Address Detail
| Address | 12 W Harrison St |
|---|---|
| City | Sullivan |
| State | Illinois (IL) |
| Post Code | 619511907 |
| Phone Number | 2177284358 |
| Fax Number | 2177282270 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
| Licence No | A-0043-0002- |
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Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
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Post Comment/ Review Below
What is the Moultrie County Mental Health Center's unique identification number?
The Moultrie County Mental Health Center has been assigned the NPI (National Provider Identifier) Number 1811025240 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical location address where Moultrie County Mental Health Center's facilities are situated?
The facilities of Moultrie County Mental Health Center are physically located at the following address: 12 W Harrison St, Sullivan, IL, 619511907.
What is the area of specialization for Moultrie County Mental Health Center, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Moultrie County Mental Health Center is Addiction (substance Use Disorder), and the corresponding taxonomy code that categorizes this area of expertise is 101Ya0400X.
On what date did the Centers for Medicare & Medicaid Services assign the 1811025240 to Moultrie County Mental Health Center?
The Centers for Medicare & Medicaid Services assigned the 1811025240 to Moultrie County Mental Health Center on 2007-02-28.
When was the information regarding Moultrie County Mental Health Center, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Moultrie County Mental Health Center, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2016-07-25.
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