| Mclean County Triage Center | |
|
200 W Front St, 1st Floor Sw C/o 200 W Front St, Suite 400f Bloomington IL 61701 | |
| (309) 434-6510 | |
| (309) 888-5111 |
| Full Name | Mclean County Triage Center |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 200 W Front St, 1st Floor Sw, Bloomington, Illinois |
| Authorized Official Name and Position | Trisha P Malott (LCSW) |
| Authorized Official Contact | 3094346510 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mclean County Triage Center 200 W Front St, Suite 500d Attn: Trisha Malott, Bhcc Supervisor Bloomington IL 61701 Ph: (309) 434-6510 | Mclean County Triage Center 200 W Front St, 1st Floor Sw C/o 200 W Front St, Suite 400f Bloomington IL 61701 Ph: (309) 434-6510 |
| NPI Number | 1770140964 |
|---|---|
| Provider Enumeration Date | 05/22/2019 |
| Last Update Date | 08/31/2021 |
| Certification Date | 08/31/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770140964 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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Cynthia M Harbaugh, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 W Monroe St Ste 305, Bloomington, IL 61701 Phone: 309-862-3620 Fax: 309-322-0535 | |
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Finding Your Path To Freedom Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2310 E Oakland Ave Ste 11b, Bloomington, IL 61701 Phone: 563-505-9529 Fax: 309-402-0579 | |
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