Stress & Trauma Treatment Center, Inc.
Organization Active NPI Adolescent and Children Mental Health Clinic/Center · Eldorado, IL
NPI 1851966014 · NPPES record last updated May 20, 2021
Key facts
- NPI
- 1851966014
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Adolescent and Children Mental Health Clinic/Center 261QM0855X
- Legal business name
- STRESS & TRAUMA TREATMENT CENTER, INC.
- Practice address
- 1200 Locust St
Eldorado, IL 62930-1723 - Phone
- (618) 252-9036
- Fax
- (618) 216-9993
- NPI assigned
- May 20, 2021
- Organization subpart
- No
Authorized official
- Name
- Dr. Donald Matthew Buckman, PH D
- Title
- Executive Director
- Phone
- (270) 997-1065
Practitioners 62
-
Donald M Buckman, PH D
-
Amy Coan, BSW
-
Flor Eldridge, LCSW
-
Courtney Ford, MSW
-
Brooke Frazer, M.S.
-
Kaitlyn Breanne Huff, B.A.
-
Michael K Jackson, MASTERS
-
Kathryn Lee, BS
National Provider Directory
Locations
1200 Locust St
Eldorado, IL 62930
Phone (618) 252-9036
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Mental Health Clinic/Center | 261QM0850X | |||
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X | Yes |
Addresses
Primary practice location
1200 Locust St
Eldorado, IL 62930-1723
Mailing address
1200 Locust St
Eldorado, IL 62930-1723
Phone (618) 252-9036
Other providers in Eldorado, IL
- Thomas Ray Stanford
- Zachary David Stearns
- Kristin Michelle Stewart
- Rachel Stone
- Stress & Trauma Treatment Center
- Deborah S Sullivan
- Gretchen L Sutton
- Craig V Svoboda
- Octavia Swango
- Ahmed Ali Tariq
All providers in Eldorado, 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 May 20, 2021. 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.