| Mental Health Centers Of Western Illinois | |
|
700 Se Cross Street Mt Sterling IL 62353 | |
| (217) 773-3325 | |
| (217) 773-2425 |
| Full Name | Mental Health Centers Of Western Illinois |
|---|---|
| Speciality | Clinic/Center |
| Location | 700 Se Cross Street, Mt Sterling, Illinois |
| Authorized Official Name and Position | Sean Eifert (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2177733325 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mental Health Centers Of Western Illinois 700 Se Cross Street Mt Sterling IL 62353 Ph: (217) 773-3325 | Mental Health Centers Of Western Illinois 700 Se Cross Street Mt Sterling IL 62353 Ph: (217) 773-3325 |
| NPI Number | 1558451716 |
|---|---|
| Provider Enumeration Date | 10/16/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 2062518160 |
|---|---|
| Medicare Enrollment ID | O20070507000495 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558451716 | NPI | - | NPPES |
| C38714 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | A03900002A (Illinois) | Primary |
| Provider Name | Philip I Woerner |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1952521791 PECOS PAC ID: 6709849383 Enrollment ID: I20041104000853 |
| Provider Name | Michael T Gadson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1407877822 PECOS PAC ID: 8426956798 Enrollment ID: I20050421000226 |
| Provider Name | Rochelle L Briney |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285964684 PECOS PAC ID: 3173768967 Enrollment ID: I20130327000322 |
| Provider Name | Makenzie K Shipman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801290176 PECOS PAC ID: 3072870864 Enrollment ID: I20171204001517 |
| Provider Name | Jessica G Schoon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003570581 PECOS PAC ID: 2466839444 Enrollment ID: I20220512000965 |
| Provider Name | Veronica Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912618786 PECOS PAC ID: 6901261916 Enrollment ID: I20230426002599 |
| Provider Name | Megan E Huffman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1720470545 PECOS PAC ID: 8224478649 Enrollment ID: I20240502002227 |
Be Well Therapeutic Center Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 107 E North St, Mt Sterling, IL 62353 Phone: 217-830-8077 Fax: 217-773-1106 |