| Perry County Counseling Center, Inc. | |
|
8271 E Jackson Street Rd Du Quoin IL 62832-3811 | |
| (618) 542-6722 | |
| (618) 542-6623 |
| Full Name | Perry County Counseling Center, Inc. |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 8271 E Jackson Street Rd, Du Quoin, Illinois |
| Authorized Official Name and Position | Susan Engelhardt (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6185425421 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Perry County Counseling Center, Inc. 1016 S Madison St Suite A Du Quoin IL 62832-2442 Ph: (618) 542-4357 | Perry County Counseling Center, Inc. 8271 E Jackson Street Rd Du Quoin IL 62832-3811 Ph: (618) 542-6722 |
| NPI Number | 1699056564 |
|---|---|
| Provider Enumeration Date | 09/06/2011 |
| Last Update Date | 02/27/2024 |
| Certification Date | 02/27/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699056564 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Southern Illinois Behavioral Services Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1016 S Madison St, Suite A, Du Quoin, IL 62832 Phone: 618-542-4357 Fax: 618-542-3442 | |
Southern Illinois Behavioral Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 110 S Hickory St, Du Quoin, IL 62832 Phone: 618-542-6722 Fax: 618-542-6623 | |
Christopher Greater Area Rural Health Planning Corporation Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1564 S Washington St, Du Quoin, IL 62832 Phone: 618-542-8702 Fax: 618-542-8792 | |
Perry County Counseling Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1016 S Madison St, Du Quoin, IL 62832 Phone: 618-542-4357 Fax: 618-542-3442 | |
Southern Illinois Behavioral Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 104 S Hickory St, Du Quoin, IL 62832 Phone: 618-542-6722 Fax: 618-542-6623 | |
Perry County Counseling Center, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8271 E Jackson Street Rd, Du Quoin, IL 62832 Phone: 618-542-4357 |