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Organization
GATEWAY FAMILY SERVICES OF ILLINOIS
Active
Organization
GATEWAY FAMILY SERVICES OF ILLINOIS
Active
Other names
Gateway Family Services LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL REMOLE (COO AND LEAD THERAPIST)
(217) 649-0492
Entity
Organization
Contact information
Practice address
7757 US ROUTE 136, POTOMAC, IL 61865-3047
(217) 649-0492
(217) 987-6386
Mailing address
7757 US ROUTE 136, POTOMAC, IL 61865-3047
(217) 649-0492
(217) 987-6386
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
180009566
IL
101YP2500X
Professional Counselor
180009566
IL
1041C0700X
Clinical Social Worker
Primary
58515
TX
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
01/25/2018
Last updated
06/02/2020
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