| Gateway Foundation, Inc-cmhc | |
|
4812 N Sheridan Rd Peoria IL 61614-5969 | |
| (877) 381-6538 | |
| Not Available |
| Full Name | Gateway Foundation, Inc-cmhc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 4812 N Sheridan Rd, Peoria, Illinois |
| Authorized Official Name and Position | Latina Russell (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 3126631130 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gateway Foundation, Inc-cmhc 55 E Jackson Blvd Ste 1500 Chicago IL 60604-4184 Ph: (312) 663-1130 | Gateway Foundation, Inc-cmhc 4812 N Sheridan Rd Peoria IL 61614-5969 Ph: (877) 381-6538 |
| NPI Number | 1780430678 |
|---|---|
| Provider Enumeration Date | 04/30/2024 |
| Last Update Date | 09/26/2024 |
| Certification Date | 09/26/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780430678 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Human Service Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1005 Ne Jefferson Ave, Peoria, IL 61603 Phone: 309-671-8005 | |
Pschertz Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5016 N University St Ste 101, Peoria, IL 61614 Phone: 309-373-0153 | |
Melissa Millinger Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1013 W Cordell Ave, Peoria, IL 61614 Phone: 309-264-8783 | |
Melissa Shane Counseling Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6919 N Knoxville Ave Ste 100, Peoria, IL 61614 Phone: 309-369-3498 Fax: 309-966-0266 | |
Easter Seals - Ucp Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 507 E Armstrong Ave, Peoria, IL 61603 Phone: 309-686-1177 Fax: 309-686-7722 | |
Human Service Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2101 W Willow Knolls Dr, Peoria, IL 61614 Phone: 309-671-8000 | |
Meredith Messina Lcpc Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4507 N Sterling Ave Ste 300a, Peoria, IL 61615 Phone: 309-323-0032 |