Camelot Care Centers, LLC
Organization Active NPI Adolescent and Children Mental Health Clinic/Center · Peoria, IL
NPI 1215535786 · NPPES record last updated Apr 3, 2024
Key facts
- NPI
- 1215535786
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Adolescent and Children Mental Health Clinic/Center 261QM0855X
- Legal business name
- CAMELOT CARE CENTERS, LLC
- Practice address
- 817 W Pioneer Pkwy
Peoria, IL 61615-2144 - Phone
- (309) 676-6305
- NPI assigned
- Oct 15, 2020
- Organization subpart
- Yes
- Parent organization (as reported)
- PATHWAYS HEALTH AND COMMUNITY SUPPORT, LLC.
Authorized official
- Name
- Ronica R Patel
- Title
- Executive Director
- Phone
- (630) 773-1985
Corporate family (same tax ID) 19
Practitioners 5
-
Carrie Ann Reinboldt, LCPC
-
Angela Zumbek, MA, LCPC
National Provider Directory
- Tax ID family
- Camelot Care Centers in
- Part of
- Camelot Care Centers LLC
Locations
817 W Pioneer Pkwy
Peoria, IL 61615
Phone (309) 676-6305
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X | Yes |
Addresses
Primary practice location
817 W Pioneer Pkwy
Peoria, IL 61615-2144
Mailing address
333 W Pierce Rd Ste 175
Itasca, IL 60143-3120
Other providers in Peoria, IL
- Benito Camacho
- Cambron Talbott Counseling
- Connie Cambron-Adams
- Nathan Cambron
- Camelot Care Centers, Inc
- Camelot Care Centers, LLC
- Anthony B Cameron
- Dorthia D Cameron
- Kacie Loren Cameron
- Vanessa Marie Cameron
All providers in Peoria, IL · Adolescent and Children Mental Health Clinic/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 3, 2024. 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.