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Organization
MENTAL HEALTH CENTERS OF CENTRAL ILLINOIS
Active
Organization
MENTAL HEALTH CENTERS OF CENTRAL ILLINOIS
Active
Other names
Memorial Behavioral Health Counseling Associates
Organization subpart
No
Provider details
NPI number
Authorized official
ANN BOWLING (DIRECTOR)
(217) 588-2626
Entity
Organization
Contact information
Practice address
901 N 1ST ST, SUITE 225, SPRINGFIELD, IL 62702-3759
(217) 788-4065
(217) 788-4147
Mailing address
901 N 1ST ST STE 225, SPRINGFIELD, IL 62702-3760
(217) 788-4065
(217) 788-4147
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
09/09/2009
Last updated
10/31/2023
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