S E Illinois Counseling Ctrs in Fairfield - Community/behavioral Health
S E Illinois Counseling Ctrs - NPI 1013186568
S E Illinois Counseling Ctrs is a Community/behavioral Health in Fairfield, Illinois. S E Illinois Counseling Ctrs practices all healthcare services and medical treatments related to Community/behavioral Health. The NPI Number for S E Illinois Counseling Ctrs is 1013186568. The last update date is 2016-05-05.
S E Illinois Counseling Ctrs's current location address is 407 N Basin Rd, Fairfield, Illinois. You can contact this provider via phone number 6188422125 and fax number 6188422126. The mailing address for S E Illinois Counseling Ctrs is 407 N Basin Rd, Fairfield, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | S E Illinois Counseling Ctrs |
|---|---|
| Address | 407 N Basin Rd, Fairfield, Illinois |
| Phone Number | 6188422125 |
| Fax Number | 6188422126 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Jackson Glenn |
| Credentials | M. DIV., L |
| Telephone Number | 6183954309 |
NPI Number Detail
| NPI Number | 1013186568 |
|---|---|
| Provider Enumeration Date | 2008-02-28 |
| Last Updated Date | 2016-05-05 |
Provider Mailing Address Detail
| Address | 407 N Basin Rd |
|---|---|
| City | Fairfield |
| State | Illinois (IL) |
| Post Code | 628379639 |
| Phone Number | 6188422125 |
| Fax Number | 6188422126 |
Provider's Primary Taxonomy Detail
| Speciality | Community/behavioral Health |
|---|---|
| Taxonomy | 251S00000X |
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Definition: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those dis |
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What is the S E Illinois Counseling Ctrs's unique identification number?
The S E Illinois Counseling Ctrs has been assigned the NPI (National Provider Identifier) Number 1013186568 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the S E Illinois Counseling Ctrs located?
The S E Illinois Counseling Ctrs is located at 407 N Basin Rd, Fairfield, IL 628379639.
What is the S E Illinois Counseling Ctrs's area of specialization and corresponding taxonomy classification?
The S E Illinois Counseling Ctrs's specialty field is Community/behavioral Health, and it falls under the taxonomy code 251S00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1013186568 to S E Illinois Counseling Ctrs?
The S E Illinois Counseling Ctrs received its 1013186568 assignment from the Centers for Medicare & Medicaid Services on 2008-02-28.
When was the information regarding S E Illinois Counseling Ctrs most recently updated?
The details pertaining to the S E Illinois Counseling Ctrs, including its address, specialty, and other relevant information, were last refreshed on 2016-05-05.
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