S E Illinois Counseling Ctrs in Fairfield - Adolescent And Children Mental Health
S E Illinois Counseling Ctrs - NPI 1013186568
S E Illinois Counseling Ctrs is a Adolescent And Children Mental Health in Fairfield, Illinois. S E Illinois Counseling Ctrs practices all healthcare services and medical treatments related to Adolescent And Children Mental 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 | Adolescent And Children Mental Health |
|---|---|
| Taxonomy | 261Qm0855X |
|
Definition: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patie |
|
Post Comment/ Review Below
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 Adolescent And Children Mental Health, and it falls under the taxonomy code 261Qm0855X, 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.
NPI Number: 1730182858
Address: 40 Old Lancaster Rd Apt 412, Merion Station, PA