PERRY COUNTY COUNSELING CENTER INC NPI 1063460897

NPI Information

NPI: 1063460897
Provider Name: PERRY COUNTY COUNSELING CENTER INC

Doing Business As: SOUTHERN ILLINOIS BEHAVIORAL SERVICES

Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
1016 S MADISON ST
SUITE A
DU QUOIN, IL
ZIP 62832
Phone: (618) 542-4357
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PERRY COUNTY COUNSELING CENTER INC is a mental health (including community mental health center) clinic center in Du Quoin, IL. PERRY COUNTY COUNSELING CENTER INC NPI is 1063460897. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Southern Illinois Behavioral Services.

The provider's business location address is:

1016 S MADISON ST
SUITE A
DU QUOIN, IL
ZIP 62832-442
Phone: (618) 542-4357
Fax: (618) 542-3442

The provider's authorized official is John R Venskus .
The authorized official title is Executive Director and has the following contact phone number (618) 542-4357.

The enumeration date for this NPI number is 5/4/2006 and was last updated on 3/4/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	101YP2500X	Counselor	Professional	No
2	1041C0700X	Social Worker	Clinical	No
3	207Q00000X	Family Medicine		No
4	2084P0800X	Psychiatry & Neurology	Psychiatry	No
5	363LF0000X	Nurse Practitioner	Family	No
6	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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