S E Illinois Counseling Ctrs in Albion - Adolescent And Children Mental Health
S E Illinois Counseling Ctrs - NPI 1205005758
S E Illinois Counseling Ctrs is a Adolescent And Children Mental Health in Albion, 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 1205005758. The last update date is 2008-04-20.
S E Illinois Counseling Ctrs's current location address is 254 S 5th St, Albion, Illinois. You can contact this provider via phone number 6184453559 and fax number 6184452912. The mailing address for S E Illinois Counseling Ctrs is 254 S 5th St, Albion, Illinois. To know further, please read the information below!
Provider Profile Detail
Provider Organization | S E Illinois Counseling Ctrs |
---|---|
Address | 254 S 5th St, Albion, Illinois |
Phone Number | 6184453559 |
Fax Number | 6184452912 |
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 | 1205005758 |
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Provider Enumeration Date | 2008-02-28 |
Last Updated Date | 2008-04-20 |
Provider Mailing Address Detail
Address | 254 S 5th St |
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City | Albion |
State | Illinois (IL) |
Post Code | 628061121 |
Phone Number | 6184453559 |
Fax Number | 6184452912 |
Provider's Primary Taxonomy Detail
Speciality | Adolescent And Children Mental Health |
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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 |
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What is the unique 10-digit identification code issued to S E Illinois Counseling Ctrs by the Centers for Medicare & Medicaid Services?
The S E Illinois Counseling Ctrs has been assigned the NPI (National Provider Identifier) 1205005758 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete street address where S E Illinois Counseling Ctrs is physically located?
The S E Illinois Counseling Ctrs is physically situated at the following address: 254 S 5Th St, Albion, IL, 628061121.
What is the S E Illinois Counseling Ctrs's specialty and taxonomy code?
The S E Illinois Counseling Ctrs's specialty is Adolescent And Children Mental Health, and the corresponding taxonomy code is 261Qm0855X.
On what date did the Centers for Medicare & Medicaid Services issue the 1205005758 to S E Illinois Counseling Ctrs?
The S E Illinois Counseling Ctrs received its 1205005758 assignment from the Centers for Medicare & Medicaid Services on 2008-02-28.
When was the information pertaining to S E Illinois Counseling Ctrs most recently updated or revised?
The details related to S E Illinois Counseling Ctrs, including its address, specialty, and other relevant information, were last updated or revised on 2008-04-20.
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