Organization
KC EATING DISORDER CLINIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAITLYN CORNELL LCSW, CEDS-S (CEO)
(217) 621-0766
Entity
Organization
Contact information
Practice address
313 N MATTIS AVE STE 110, CHAMPAIGN, IL 61821-7901
(217) 377-0299
Mailing address
203 FLORA DR, CHAMPAIGN, IL 61821-3212
(217) 621-0766
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
08/27/2025
Last updated
08/27/2025
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