| Locust Street Resource Center Cila #1 | |
|
124 W Buchanan St Carlinville IL 62626-1027 | |
| (217) 854-3166 | |
| (217) 854-9729 |
| Full Name | Locust Street Resource Center Cila #1 |
|---|---|
| Speciality | Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
| Location | 124 W Buchanan St, Carlinville, Illinois |
| Authorized Official Name and Position | Tracy Haynes (MANAGER) |
| Authorized Official Contact | 2178543166 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Locust Street Resource Center Cila #1 320 S Locust St Carlinville IL 62626-1648 Ph: (217) 854-3166 | Locust Street Resource Center Cila #1 124 W Buchanan St Carlinville IL 62626-1027 Ph: (217) 854-3166 |
| NPI Number | 1700330545 |
|---|---|
| Provider Enumeration Date | 08/10/2016 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700330545 | NPI | - | NPPES |
Acorn Counseling & Mediation, Ltd Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 101 Mccausland St, Carlinville, IL 62626 Phone: 217-930-2106 Fax: 217-716-2265 | |
Margaret Perry, Lcsw Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 40 Carlinville Plz, Carlinville, IL 62626 Phone: 217-705-4550 Fax: 217-705-4213 | |
Locust Street Resource Center Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 320 South Locust Street, Carlinville, IL 62626 Phone: 217-854-3166 Fax: 217-854-9729 | |
Margaret Perry Lcsw Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 311 W Main St, Carlinville, IL 62626 Phone: 217-705-4550 Fax: 217-705-4213 |