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810 Locust St Murphysboro IL 62966-2256 | |
| (618) 565-1900 | |
| (618) 565-1900 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 810 Locust St, Murphysboro, Illinois |
| Authorized Official Name and Position | Roy Fesmire (VICE PRESIDENT AND CFO) |
| Authorized Official Contact | 3127870208 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
700 S Clinton St Chicago IL 60607-4350 Ph: (312) 787-0208 | 810 Locust St Murphysboro IL 62966-2256 Ph: (618) 565-1900 |
| NPI Number | 1821457029 |
|---|---|
| Provider Enumeration Date | 02/16/2016 |
| Last Update Date | 11/30/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821457029 | NPI | - | NPPES |
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Survive And Thrive Counseling, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 617 Walnut St, Murphysboro, IL 62966 Phone: 618-213-3046 Fax: 618-213-3046 |