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407 N Basin Rd Fairfield IL 62837-9639 | |
(618) 273-3326 | |
(618) 273-2808 |
Full Name | |
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Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 407 N Basin Rd, Fairfield, Illinois |
Authorized Official Name and Position | Angie Hampton (CEO) |
Authorized Official Contact | 6182733326 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1412 Us Highway 45 N Eldorado IL 62930-3766 Ph: (618) 273-3326 | 407 N Basin Rd Fairfield IL 62837-9639 Ph: (618) 273-3326 |
NPI Number | 1689141145 |
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Provider Enumeration Date | 11/01/2018 |
Last Update Date | 05/28/2020 |
Certification Date | 05/28/2020 |
Identifier | Type | State | Issuer |
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1689141145 | NPI | - | NPPES |
04051 | Medicaid | IL |
Solutions Psychotherapy Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 206 W Sibley St, Fairfield, IL 62837 Phone: 618-599-3647 | |
Mt. Vernon Counseling Center, Inc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 114 Andrews Dr, Fairfield, IL 62837 Phone: 312-841-7674 Fax: 618-270-0524 | |