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) 762-8546
(217) 762-4066
Mailing address
1921 N MARKET ST, MONTICELLO, IL 61856-8144
(217) 762-8546
(217) 762-4066
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
Other
Enumeration date
06/06/2016
Last updated
09/15/2025
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