| Camelot Care Centers, Inc | |
|
5901 N Prospect Rd Ste 101 Peoria IL 61614-4395 | |
| (309) 692-1095 | |
| (309) 692-1375 |
| Full Name | Camelot Care Centers, Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 5901 N Prospect Rd Ste 101, Peoria, Illinois |
| Authorized Official Name and Position | Jason Keeler (STATE DIRECTOR) |
| Authorized Official Contact | 6307731985 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Camelot Care Centers, Inc 5901 N Prospect Rd Ste 101 Peoria IL 61614-4395 Ph: (309) 692-1095 | Camelot Care Centers, Inc 5901 N Prospect Rd Ste 101 Peoria IL 61614-4395 Ph: (309) 692-1095 |
| NPI Number | 1780913756 |
|---|---|
| Provider Enumeration Date | 12/21/2009 |
| Last Update Date | 12/21/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780913756 | NPI | - | NPPES |
| 2B05-IPI-141 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Human Service Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1005 Ne Jefferson Ave, Peoria, IL 61603 Phone: 309-671-8005 | |
Pschertz Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5016 N University St Ste 101, Peoria, IL 61614 Phone: 309-373-0153 | |
Melissa Millinger Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1013 W Cordell Ave, Peoria, IL 61614 Phone: 309-264-8783 | |
Melissa Shane Counseling Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6919 N Knoxville Ave Ste 100, Peoria, IL 61614 Phone: 309-369-3498 Fax: 309-966-0266 | |
Easter Seals - Ucp Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 507 E Armstrong Ave, Peoria, IL 61603 Phone: 309-686-1177 Fax: 309-686-7722 | |
Human Service Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2101 W Willow Knolls Dr, Peoria, IL 61614 Phone: 309-671-8000 | |
Meredith Messina Lcpc Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4507 N Sterling Ave Ste 300a, Peoria, IL 61615 Phone: 309-323-0032 |