| Shelby County Community Services Inc | |
|
477 S Heinlein Dr Shelbyville IL 62565-9596 | |
| (217) 774-2113 | |
| (217) 774-2256 |
| Full Name | Shelby County Community Services Inc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 477 S Heinlein Dr, Shelbyville, Illinois |
| Authorized Official Name and Position | Ed Lacheta (CLINICAL DIRECTOR) |
| Authorized Official Contact | 2177742113 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shelby County Community Services Inc 1810 W South 3rd St Shelbyville IL 62565-9595 Ph: (217) 774-2113 | Shelby County Community Services Inc 477 S Heinlein Dr Shelbyville IL 62565-9596 Ph: (217) 774-2113 |
| NPI Number | 1508540105 |
|---|---|
| Provider Enumeration Date | 06/14/2023 |
| Last Update Date | 06/14/2023 |
| Certification Date | 06/13/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508540105 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Shelby County Community Service Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1810 W South 3rd St, Shelbyville, IL 62565 Phone: 217-774-5587 Fax: 217-774-5202 | |
Shelby County Community Service Inc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 314 N Cedar, Shelbyville, IL 62565 Phone: 217-774-2113 Fax: 217-774-2256 | |
In Bloom Wellness Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 215 W North 9th St, Shelbyville, IL 62565 Phone: 765-404-4002 Fax: 217-615-1142 | |
Shelby County Community Services Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 315 N Cedar St, Shelbyville, IL 62565 Phone: 217-774-1029 Fax: 217-774-1059 |