ABBCON COUNSELING CORPORATION NPI 1487032769

NPI Information

NPI: 1487032769
Provider Name: ABBCON COUNSELING CORPORATION
Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

CLIA Number: 14D2080184

Address:
201 N LOGAN ST STE A
MATTOON, IL
ZIP 61938
Phone: (217) 317-2089
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ABBCON COUNSELING CORPORATION is a rehabilitation and substance use disorder clinic center in Mattoon, IL. ABBCON COUNSELING CORPORATION NPI is 1487032769. The provider is registered as an organization entity type.

The provider's business location address is:

201 N LOGAN ST STE A
MATTOON, IL
ZIP 61938-598
Phone: (217) 317-2089

The provider's authorized official is Ashley Epperson .
The authorized official title is Director and has the following contact phone number (217) 345-3156.

The CLIA number assigned to this NPI record is 14D2080184 - other - substance abuse trmt with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/7/2015 and was last updated on 7/30/2020.

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
1	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder	A-6036-0004-A	ILLINOIS	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	Other Provider Identifier Issuer
1	A-6036-0013-A	OTHER	ILLINOIS	SUPR LICENSE NUMBER

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: 4/28/2024

NPI Synchronization or Removal

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