| |
120 E A St Belleville IL 62220-1401 | |
(618) 235-5335 | |
(618) 235-5969 |
Full Name | |
---|---|
Speciality | Community/behavioral Health |
Location | 120 E A St, Belleville, Illinois |
Authorized Official Name and Position | Mike Shaver (PRESIDENT/CEO) |
Authorized Official Contact | 3124246801 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
200 W Monroe St Ste 2100 Chicago IL 60606-5071 Ph: (312) 424-0200 | 120 E A St Belleville IL 62220-1401 Ph: (618) 235-5335 |
NPI Number | 1295059988 |
---|---|
Provider Enumeration Date | 03/24/2010 |
Last Update Date | 07/01/2022 |
Certification Date | 06/28/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1295059988 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Murray Freedom Counseling Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2900 Frank Scott Pkwy W Ste 972b, Belleville, IL 62223 Phone: 618-507-9067 | |
Project Odyssey Aba, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 815 Gass Ave, Belleville, IL 62220 Phone: 337-602-8884 Fax: 618-418-4422 | |
Catholic Social Service Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8601 W Main St, Belleville, IL 62223 Phone: 618-394-5900 | |
Covered Bridge Counseling Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7312 W Main St, Belleville, IL 62223 Phone: 618-792-6660 | |