South Liberty Counseling
Organization Active NPI Mental Health Clinic/Center (Including Community Mental Health Center) · Rushville, IL
NPI 1679224075 · NPPES record last updated Jan 17, 2022
Key facts
- NPI
- 1679224075
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
- Legal business name
- SOUTH LIBERTY COUNSELING
- Practice address
- 134 S Liberty St Ste 2
Rushville, IL 62681-1420 - Phone
- (808) 286-8955
- NPI assigned
- Jan 17, 2022
- Organization subpart
- No
Authorized official
- Name
- Gerald Labog Carreon, LMFT
- Title
- Licensed MFT
- Phone
- (808) 286-8955
Practitioners 1
-
Gerald L Carreon, LMFT
National Provider Directory
Locations
134 S Liberty St
Ste 2
Rushville, IL 62681
Phone (808) 286-8955
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Yes |
Addresses
Primary practice location
134 S Liberty St Ste 2
Rushville, IL 62681-1420
Mailing address
PO Box 118
Prairie City, IL 61470-0118
Phone (808) 286-8955
Other providers in Rushville, IL
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- Jenna E Settles
- Charles Franklin Smith
- Marcia Dianne Snyder
- Snyder'S Vaughn-Haven, Inc.
- Jaimee Steele
- Kerstin Marie Stitt
- Marguerite Simonne Taillefer
- Lori Ann Thomas
- Quintin Thurman
All providers in Rushville, 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 Jan 17, 2022. 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.