S E Illinois Counseling CTRS
Organization Active NPI Mental Health Clinic/Center (Including Community Mental Health Center) · Albion, IL
NPI 1205005758 · NPPES record last updated Apr 20, 2008
Key facts
- NPI
- 1205005758
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
- Legal business name
- S E ILLINOIS COUNSELING CTRS
- Practice address
- 254 S 5TH St
Albion, IL 62806-1121 - Phone
- (618) 445-3559
- Fax
- (618) 445-2912
- NPI assigned
- Feb 28, 2008
- Organization subpart
- No
Authorized official
- Name
- Mr. Glenn Jackson, M. DIV., LSW, LCPC
- Title
- Executive Director
- Phone
- (618) 395-4309
Corporate family (same tax ID) 8
National Provider Directory
- Tax ID family
- Southeastern Ill Counse
Locations
254 S 5th St
Albion, IL 62806
Phone (618) 445-3559
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | |||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Yes | ||
| Adult Mental Health Clinic/Center | 261QM0850X | |||
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X |
Addresses
Primary practice location
254 S 5TH St
Albion, IL 62806-1121
Mailing address
PO Box M
504 Micah Drive
Olney, IL 62450-0913
Phone (618) 395-4306
Other names
- EDWARDS FAMILY COUNSELING CTR
Other providers in Albion, IL
- Jodi Peach
- Pediatric Pathways
- Jake K Reeverts
- Rest Haven Manor, Inc.
- Eric S Rigg
- Mahayla Seaton
- Vickie Diane Short
- South Eastern Illinois Counseling Center Inc
- Southern Illinois Primary Care Associates, P.C.
- Speir Chiropractic, P.C.
All providers in Albion, IL · Mental Health Clinic/Center (Including Community Mental Health Center) in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 20, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.