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111 W. Washington Street Suite 230 East Peoria IL 61611 | |
| (309) 694-6462 | |
| (309) 694-7812 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 111 W. Washington Street, East Peoria, Illinois |
| Authorized Official Name and Position | Dave Walter Mingus (CEO) |
| Authorized Official Contact | 3093475579 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
3248 Vandever Ave Pekin IL 61554-6257 Ph: (309) 347-5579 | 111 W. Washington Street Suite 230 East Peoria IL 61611 Ph: (309) 694-6462 |
| NPI Number | 1760508907 |
|---|---|
| Provider Enumeration Date | 03/21/2007 |
| Last Update Date | 07/12/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760508907 | NPI | - | NPPES |
Abc Counseling & Family Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 111 W. Washington St., Suite 410b, East Peoria, IL 61611 Phone: 309-694-1596 | |
East Peoria Counseling Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 252 E Washington St Ste D, East Peoria, IL 61611 Phone: 331-871-0280 | |
Mueller Pediatric Therapy Ltd Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 411 E Washington St, East Peoria, IL 61611 Phone: 309-282-6704 Fax: 309-387-2340 |