South Eastern Illinois Counseling Center Inc in Olney - Mental Health
South Eastern Illinois Counseling Center Inc - NPI 1407034382
South Eastern Illinois Counseling Center Inc is a Mental Health in Olney, Illinois. South Eastern Illinois Counseling Center Inc practices all healthcare services and medical treatments related to Mental Health. The NPI Number for South Eastern Illinois Counseling Center Inc is 1407034382. 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 | 1407034382 |
|---|---|
| Provider Enumeration Date | 2008-02-04 |
| 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 | Mental Health |
|---|---|
| Taxonomy | 101Ym0800X |
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Definition: A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more. |
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What is the unique identifier code issued to South Eastern Illinois Counseling Center Inc by the Centers for Medicare & Medicaid Services (CMS)?
The South Eastern Illinois Counseling Center Inc has been assigned the NPI (National Provider Identifier) 1407034382. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete address where South Eastern Illinois Counseling Center Inc is physically located?
The South Eastern Illinois Counseling Center Inc is situated at the following address: Po Box M, Olney, IL 624500913.
What is the South Eastern Illinois Counseling Center Inc's area of specialization and corresponding taxonomy classification?
The South Eastern Illinois Counseling Center Inc's specialty field is Mental Health, and it falls under the taxonomy code 101Ym0800X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services assign the 1407034382 to South Eastern Illinois Counseling Center Inc?
The Centers for Medicare & Medicaid Services assigned the 1407034382 to South Eastern Illinois Counseling Center Inc on 2008-02-04.
As of what date were the South Eastern Illinois Counseling Center Inc's details last updated?
The information pertaining to the South Eastern Illinois Counseling Center Inc, including its address, specialty, and other details, was most recently updated on 2016-05-05.
NPI Number: 1720081763
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