| Comprehensive Behavioral Health Center Of St. Clair County, Inc. | |
|
505 S 8th St East Saint Louis IL 62201-2919 | |
| (618) 482-7330 | |
| (618) 875-2635 |
| Full Name | Comprehensive Behavioral Health Center Of St. Clair County, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 505 S 8th St, East Saint Louis, Illinois |
| Authorized Official Name and Position | Joseph J Harper (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6184827330 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Comprehensive Behavioral Health Center Of St. Clair County, Inc. 505 S 8th St East Saint Louis IL 62201-2919 Ph: (618) 482-7330 | Comprehensive Behavioral Health Center Of St. Clair County, Inc. 505 S 8th St East Saint Louis IL 62201-2919 Ph: (618) 482-7330 |
| NPI Number | 1720094345 |
|---|---|
| Provider Enumeration Date | 08/01/2006 |
| Last Update Date | 07/12/2023 |
| Certification Date | 07/12/2023 |
| Medicare PECOS PAC ID | 7810072899 |
|---|---|
| Medicare Enrollment ID | O20080314000542 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720094345 | NPI | - | NPPES |
| 04037 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Kelly L Ratz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114328275 PECOS PAC ID: 9931461860 Enrollment ID: I20180313000469 |
| Provider Name | Rita Lemons Byrd |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245978949 PECOS PAC ID: 7416313820 Enrollment ID: I20230509002477 |
| Provider Name | Kimberley M Malloy |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1437588159 PECOS PAC ID: 1153772249 Enrollment ID: I20240112003719 |
| Provider Name | Mary Beth E Neufeld-wall |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003686825 PECOS PAC ID: 5890147367 Enrollment ID: I20240119002986 |
| Provider Name | Tera Wilkes |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1306556345 PECOS PAC ID: 3870936883 Enrollment ID: I20240207000559 |
| Provider Name | Milana Nichelle Foxworth |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750010914 PECOS PAC ID: 6305289331 Enrollment ID: I20240207000998 |
| Provider Name | Joseph J Harper |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679607147 PECOS PAC ID: 7810095734 Enrollment ID: I20240214001929 |
| Provider Name | Luqretia Shonett Stuckey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093003352 PECOS PAC ID: 1658717335 Enrollment ID: I20240316000293 |
Med East Sc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 129 N 8th St, Suite 228, East Saint Louis, IL 62201 Phone: 618-874-5016 | |
Children's Center For Behavioral Development Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 353 N 88th St, East Saint Louis, IL 62203 Phone: 618-398-1152 Fax: 618-398-6977 | |
Comprehensive Behavioral Health Center Of St. Clair County, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 9400 Lebanon Rd, East Saint Louis, IL 62203 Phone: 618-482-7330 Fax: 618-482-4351 | |
Childrens Home & Aid Soc Of Il Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 907 Martin Luther King Dr, Suite C, East Saint Louis, IL 62201 Phone: 618-874-0216 | |
Comprehensive Mental Health Center Of St. Clair County, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4601 State St, East Saint Louis, IL 62205 Phone: 618-482-7330 Fax: 618-482-4351 | |
Comprehensive Mental Health Center Of St. Clair County, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4601 State St, East Saint Louis, IL 62205 Phone: 618-482-7330 Fax: 618-482-4351 | |
Call For Help, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 9400 Lebanon Rd, East Saint Louis, IL 62203 Phone: 618-397-0968 Fax: 618-397-6836 |