CHILDREN'S CENTER FOR BEHAVIORAL DEVELOPMENT NPI 1184677619

NPI Information

  • NPI: 1184677619
  • Provider Name: CHILDREN'S CENTER FOR BEHAVIORAL DEVELOPMENT
  • Classification: Counselor - 101Y00000X
  • Entity Type: Organization
  • Address: 353 N 88TH ST
    EAST SAINT LOUIS, IL
    ZIP 62203
  • Phone: (618) 398-1152

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NPI Details

CHILDREN'S CENTER FOR BEHAVIORAL DEVELOPMENT is a counselor in East Saint Louis, IL. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. CHILDREN'S CENTER FOR BEHAVIORAL DEVELOPMENT NPI is 1184677619. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

353 N 88TH ST
EAST SAINT LOUIS, IL
ZIP 62203-705
Phone: (618) 398-1152
Fax: (618) 398-6977

The provider's authorized official is Carolyn Birth .
The authorized official title is Chief Executive Officer and has the following contact phone number (618) 398-1152.

The enumeration date for this NPI number is 5/18/2006 and was last updated on 7/26/2007.

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 License Number License State Primary
1101YM0800XCounselorMental Health101YM0800XILLINOISNo
2101Y00000XCounselor165005001ILLINOISYes

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: 11/21/2025

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