Mathy House Counseling Center, Lp | |
306 W Green St Urbana IL 61801-3222 | |
(217) 621-3014 | |
Not Available |
Full Name | Mathy House Counseling Center, Lp |
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Speciality | Social Worker - Clinical |
Location | 306 W Green St, Urbana, Illinois |
Authorized Official Name and Position | Eileen M Mathy (OWNER) |
Authorized Official Contact | 2176213014 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Mathy House Counseling Center, Lp 2408 N Nottingham Ct Champaign IL 61821-7017 Ph: (217) 621-3014 | Mathy House Counseling Center, Lp 306 W Green St Urbana IL 61801-3222 Ph: (217) 621-3014 |
NPI Number | 1124430798 |
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Provider Enumeration Date | 05/29/2014 |
Last Update Date | 10/12/2014 |
Identifier | Type | State | Issuer |
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1124430798 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 149012714 (Illinois) | Primary |
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