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ST CLAIR COUNTY CHILD ADVOCACY CENTER NPI 1376713206


NPI Information

NPI: 1376713206
Provider Name: ST CLAIR COUNTY CHILD ADVOCACY CENTER
Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization

CLIA Number: 14D0434183

Address:
226 W MAIN ST
SUITE 100
BELLEVILLE, IL
ZIP 62220
Phone: (618) 277-1134
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ST CLAIR COUNTY CHILD ADVOCACY CENTER is a community behavioral health in Belleville, IL. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. ST CLAIR COUNTY CHILD ADVOCACY CENTER NPI is 1376713206. The provider is registered as an organization entity type.

The provider's business location address is:

226 W MAIN ST
SUITE 100
BELLEVILLE, IL
ZIP 62220-504
Phone: (618) 277-1134
Fax: (618) 277-4110

The provider's authorized official is Carolyn Hubler .
The authorized official title is Executive Director and has the following contact phone number (618) 277-1134.

The CLIA number assigned to this NPI record is 14D0434183 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/6/2008 and was last updated on 3/6/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251S00000XCommunity/Behavioral HealthILLINOISYes

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.