|
| |
|
204 W Highland Ave Robinson IL 62454-1710 | |
| (618) 546-5232 | |
| (618) 546-5657 |
| Full Name | |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 204 W Highland Ave, Robinson, Illinois |
| Authorized Official Name and Position | Tracy J Hord (A/R CLERK) |
| Authorized Official Contact | 6183954309 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
504 Micah Dr Drawer M Olney IL 62450-4720 Ph: (618) 395-4306 | 204 W Highland Ave Robinson IL 62454-1710 Ph: (618) 546-5232 |
| NPI Number | 1114376092 |
|---|---|
| Provider Enumeration Date | 06/10/2016 |
| Last Update Date | 06/10/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114376092 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
Position With Purpose Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1508 W Main St, Robinson, IL 62454 Phone: 720-849-9979 | |
True North Psychological Services Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 204 W Highland Ave, Robinson, IL 62454 Phone: 812-269-2306 Fax: 812-602-0078 | |
Agape Christian Counseling,llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 500 W Highland Ave, Robinson, IL 62454 Phone: 618-544-2517 |