| The Midwest Relationship Center Llc | |
|
6 Emerald Ter Suite 4 Swansea IL 62226-2312 | |
| (618) 233-0500 | |
| (618) 233-7935 |
| Full Name | The Midwest Relationship Center Llc |
|---|---|
| Speciality | Counselor |
| Location | 6 Emerald Ter, Swansea, Illinois |
| Authorized Official Name and Position | William A Victor (ORGANIZER) |
| Authorized Official Contact | 6185163337 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Midwest Relationship Center Llc 4109 Bassen Dr Swansea IL 62226-7909 Ph: (618) 516-3337 | The Midwest Relationship Center Llc 6 Emerald Ter Suite 4 Swansea IL 62226-2312 Ph: (618) 233-0500 |
| NPI Number | 1225325442 |
|---|---|
| Provider Enumeration Date | 07/08/2011 |
| Last Update Date | 06/07/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225325442 | NPI | - | NPPES |
| 113166 | Other | IL | HEALTH ALLIANCE |
| 027568 | Other | IL | VMC BEHAVIORIL HEALTHCARE SERVICES |
| 09622928 | Other | IL | BLUE CROSS BLUE SHIELD IL |
| 5281 | Other | CURALINC HEALTHCARE | |
| 5593729 | Other | IL | AETNA |
| 11759843 | Other | IL | CAQH |
| 395768 | Other | IL | HEALTHLINK |
| 436317 | Other | IL | MANAGED HEALTH NETWORK |
| 2195725 | Other | IL | COMPSYCH |
| 400540 | Other | IL | VAULE OPTIONS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
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