Organization
SOUTH SIDE CHRISTIAN COUNSELING CENTER GROUP
Active
Other names
Southside Christian Counseling Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY S HAUSER (PRESIDENT)
(712) 887-0399
Entity
Organization
Contact information
Practice address
16537 OAK PARK AVE., TINLEY PARK, IL 60477
(708) 633-9003
(708) 633-1823
Mailing address
408 MAIN ST., LOHRVILLE, IA 51453
(712) 887-0399
(708) 633-1823
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
180-003931
IL
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1618179
BLUE CROSS BLUE SHIELD
IL
01
—
7092108
AETNA INSURANCE
IL
Enumeration date
08/01/2006
Last updated
06/12/2015
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us