| Christian County Mental Health Association | |
|
730 N Pawnee St Taylorville IL 62568-1400 | |
| (217) 824-4905 | |
| (217) 824-3570 |
| Full Name | Christian County Mental Health Association |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 730 N Pawnee St, Taylorville, Illinois |
| Authorized Official Name and Position | Becky Carroll (RECORDS CLERK) |
| Authorized Official Contact | 2178244905 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Christian County Mental Health Association Po Box 438 Taylorville IL 62568-0438 Ph: (217) 824-4905 | Christian County Mental Health Association 730 N Pawnee St Taylorville IL 62568-1400 Ph: (217) 824-4905 |
| NPI Number | 1831267210 |
|---|---|
| Provider Enumeration Date | 12/01/2006 |
| Last Update Date | 06/14/2010 |
| Medicare PECOS PAC ID | 3072592195 |
|---|---|
| Medicare Enrollment ID | O20040714000319 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831267210 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Rose Margaret Lafferty |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538104708 PECOS PAC ID: 9739361411 Enrollment ID: I20110317000136 |
| Provider Name | Mary A Crisler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063836450 PECOS PAC ID: 2567781537 Enrollment ID: I20150425000439 |
Mental Health Centers Of Central Illinois Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 303 E Bidwell St, Taylorville, IL 62568 Phone: 217-525-1064 | |
Christian County Mental Health Association Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 500 E Bidwell St, Taylorville, IL 62568 Phone: 217-824-4905 Fax: 217-824-3570 | |
Liberty Counseling Center,inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 209 S Washington St, Taylorville, IL 62568 Phone: 217-287-2550 Fax: 217-478-2060 |