| Carbondale Beh. Health Center | |
|
1034 E Noleman St Centralia IL 62801-3348 | |
| (618) 436-6267 | |
| Not Available |
| Full Name | Carbondale Beh. Health Center |
|---|---|
| Speciality | Counselor |
| Location | 1034 E Noleman St, Centralia, Illinois |
| Authorized Official Name and Position | Tammy Simonton (MNG BILLING) |
| Authorized Official Contact | 6184366267 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carbondale Beh. Health Center 1034 E Noleman St Centralia IL 62801-3348 Ph: (618) 436-6267 | Carbondale Beh. Health Center 1034 E Noleman St Centralia IL 62801-3348 Ph: (618) 436-6267 |
| NPI Number | 1568643021 |
|---|---|
| Provider Enumeration Date | 11/26/2007 |
| Last Update Date | 11/26/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568643021 | NPI | - | NPPES |
| 3928382 | Other | IL | BCBS OF ILLINOIS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (Illinois) | Primary |
| 101Y00000X | Counselor | (Illinois) | Secondary |
| 101Y00000X | Counselor | (Illinois) | Secondary |
Community Resource Center Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 904 E Mlk Drive, Centralia, IL 62801 Phone: 618-533-1301 Fax: 618-533-0012 | |
Ssm Health St. Mary's Hospital - Centralia Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 400 N Pleasant Ave, Centralia, IL 62801 Phone: 618-436-8000 | |
Ssm Health St. Mary's Hospital - Centralia Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 400 N Pleasant Ave, Centralia, IL 62801 Phone: 618-436-8000 | |
Community Resource Center Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 519 S Locust St, Centralia, IL 62801 Phone: 618-533-1391 Fax: 618-533-0012 | |
Community Resource Center Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 904 E. Martin Luther King Drive, Centralia, IL 62801 Phone: 618-533-1391 Fax: 618-533-0012 | |
Progressive Life Counseling Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 515 Airport Rd, Centralia, IL 62801 Phone: 618-316-3826 |