| Midwest Advanced Behavioral Health Pllc | |
|
16 Emerald Ter Swansea IL 62226-2321 | |
| (618) 558-9035 | |
| Not Available |
| Full Name | Midwest Advanced Behavioral Health Pllc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 16 Emerald Ter, Swansea, Illinois |
| Authorized Official Name and Position | Rachel Kent (OWNER) |
| Authorized Official Contact | 6185589035 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Midwest Advanced Behavioral Health Pllc 904 Stone Briar Dr O Fallon IL 62269-6981 Ph: (618) 558-9035 | Midwest Advanced Behavioral Health Pllc 16 Emerald Ter Swansea IL 62226-2321 Ph: (618) 558-9035 |
| NPI Number | 1588437636 |
|---|---|
| Provider Enumeration Date | 10/31/2023 |
| Last Update Date | 10/31/2023 |
| Certification Date | 10/31/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588437636 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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