SOUTH EASTERN ILLINOIS COUNSELING CENTER INC NPI 1457539330

NPI Information

NPI: 1457539330
Provider Name: SOUTH EASTERN ILLINOIS COUNSELING CENTER INC

Other Name: CLAY FAMILY COUNSELING CENTER

Classification: Counselor - 101YP2500X
Entity Type: Organization

Specialization: Professional

Address:
901 W 3RD ST
FLORA, IL
ZIP 62839
Phone: (618) 662-2871
Get Directions

SOUTH EASTERN ILLINOIS COUNSELING CENTER INC is a professional counselor in Flora, IL. SOUTH EASTERN ILLINOIS COUNSELING CENTER INC NPI is 1457539330. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Clay Family Counseling Center.

The provider's business location address is:

901 W 3RD ST
FLORA, IL
ZIP 62839-287
Phone: (618) 662-2871
Fax: (618) 662-4748

The provider's authorized official is Glenn Jackson .
The authorized official title is Executive Director and has the following contact phone number (618) 395-4309.

The enumeration date for this NPI number is 2/4/2008 and was last updated on 9/15/2011.

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	101Y00000X	Counselor		No
2	101YA0400X	Counselor	Addiction (Substance Use Disorder)	No
3	101YM0800X	Counselor	Mental Health	No
4	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder	No
5	101YP2500X	Counselor	Professional	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	=========003	MEDICAID	ILLINOIS
2	IL2222	MEDICARE UPIN	ILLINOIS
3	=========014	MEDICAID	ILLINOIS

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

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.

« Previous NPI

Next NPI »