Centennial Counseling Center, Pc in St Charles - Mental Health
Centennial Counseling Center, Pc - NPI 1376544387
Centennial Counseling Center, Pc is a Mental Health in St Charles, Illinois. Centennial Counseling Center, Pc practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Centennial Counseling Center, Pc is 1376544387. The last update date is 2023-02-14.
Centennial Counseling Center, Pc's current location address is 1120 E Main St, St Charles, Illinois. You can contact this provider via phone number 6303776613 and fax number 6303776225. The mailing address for Centennial Counseling Center, Pc is 1120 E Main St, St Charles, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Centennial Counseling Center, Pc |
|---|---|
| Address | 1120 E Main St, St Charles, Illinois |
| Phone Number | 6303776613 |
| Fax Number | 6303776225 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Buhrt R Timothy |
| Credentials | PSYD |
| Telephone Number | 6303776613 |
NPI Number Detail
| NPI Number | 1376544387 |
|---|---|
| Provider Enumeration Date | 2005-08-02 |
| Last Updated Date | 2023-02-14 |
Provider Mailing Address Detail
| Address | 1120 E Main St |
|---|---|
| City | St Charles |
| State | Illinois (IL) |
| Post Code | 601742287 |
| Phone Number | 6303776613 |
| Fax Number | 6303776225 |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health |
|---|---|
| Taxonomy | 101Ym0800X |
| Licence No | 060-007517 |
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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 10-digit identifier code assigned to Centennial Counseling Center, Pc by the Centers for Medicare & Medicaid Services?
The Centennial Counseling Center, Pc has been issued the NPI (National Provider Identifier) 1376544387 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Centennial Counseling Center, Pc?
The Centennial Counseling Center, Pc is physically situated at 1120 E Main St, in the city of St Charles, state of IL, with the postal code 601742287.
What is the Centennial Counseling Center, Pc's specialty and taxonomy code?
The Centennial Counseling Center, Pc's specialty is Mental Health, and the corresponding taxonomy code is 101Ym0800X.
On what date did the Centers for Medicare & Medicaid Services issue the 1376544387 to Centennial Counseling Center, Pc?
The Centennial Counseling Center, Pc received its 1376544387 assignment from the Centers for Medicare & Medicaid Services on 2005-08-02.
As of what date were the details related to Centennial Counseling Center, Pc most recently updated or revised?
The information pertaining to Centennial Counseling Center, Pc, including its address, specialty, and other relevant details, was last updated or revised on 2023-02-14.