| Lawrence County Behavior Health | |
|
2101 James St Lawrenceville IL 62439-2027 | |
| (618) 943-3302 | |
| (618) 943-3657 |
| Full Name | Lawrence County Behavior Health |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2101 James St, Lawrenceville, Illinois |
| Authorized Official Name and Position | Amy Marley (ADMINISTRATOR) |
| Authorized Official Contact | 6189433302 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lawrence County Behavior Health 2101 James St Lawrenceville IL 62439-2027 Ph: (618) 943-3302 | Lawrence County Behavior Health 2101 James St Lawrenceville IL 62439-2027 Ph: (618) 943-3302 |
| NPI Number | 1528298015 |
|---|---|
| Provider Enumeration Date | 07/20/2009 |
| Last Update Date | 02/08/2023 |
| Certification Date | 02/08/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528298015 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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Lawrence County Behavior Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2101 James St, Lawrenceville, IL 62439 Phone: 618-943-3302 Fax: 618-943-3657 | |
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