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Organization

PIATT COUNTY MENTAL HEALTH CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TONY KIRKMAN LCPC (EXECUTIVE DIRECTOR)
(217) 762-5371
Entity
Organization

Contact information

Practice address
1921 N MARKET ST, MONTICELLO, IL 61856-8144
(217) 762-5371
(217) 762-4066
Mailing address
1921 N MARKET ST, MONTICELLO, IL 61856-8144
(217) 762-5371
(217) 762-4066

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
IL
101YA0400X
Addiction (Substance Use Disorder) Counselor
A0277001A
IL
101YM0800X
Mental Health Counselor
IL
101YP2500X
Professional Counselor
IL
104100000X
Social Worker
IL
1041C0700X
Clinical Social Worker
IL
106H00000X
Marriage & Family Therapist
IL
251B00000X
Case Management Agency
IL
251C00000X
Developmentally Disabled Services Day Training Agency
IL
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
3709251539
IL
261QM0850X
Adult Mental Health Clinic/Center
IL
261QM0855X
Adolescent and Children Mental Health Clinic/Center
IL
385H00000X
Respite Care
IL
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
IL

Other

Enumeration date
08/25/2006
Last updated
09/15/2025
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