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MURPHYSOBORO COUNSELING CENTER LLC NPI 1851451983


NPI Information

NPI: 1851451983
Provider Name: MURPHYSOBORO COUNSELING CENTER, LLC
Classification: Counselor - 101YA0400X
Entity Type: Organization

Specialization: Addiction (Substance Use Disorder)

Address:
608 MULBERRY ST
MURPHYSBORO, IL
ZIP 62966
Phone: (618) 687-5353
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MURPHYSOBORO COUNSELING CENTER, LLC is an addiction (substance use disorder) counselor in Murphysboro, IL. MURPHYSOBORO COUNSELING CENTER, LLC NPI is 1851451983. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

608 MULBERRY ST
MURPHYSBORO, IL
ZIP 62966-666
Phone: (618) 687-5353
Fax: (618) 687-5077

The provider's authorized official is Diane Kaye Davis .
The authorized official title is President and has the following contact phone number (618) 687-5353.

The enumeration date for this NPI number is 12/11/2006 and was last updated on 8/22/2020.


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
1101YA0400XCounselorAddiction (Substance Use Disorder)Yes
2101YM0800XCounselorMental HealthX
3101YP2500XCounselorProfessionalILLINOISX

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

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