Organization
SOUTHWEST FAMILY & CHILDRENS TESTING & THERAPY CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PHILIP L ECKERT LCPC (EXECUTIVE DIRECTOR)
(618) 632-7400
Entity
Organization
Contact information
Practice address
501 EMILY DRIVE, OFALLON, IL 62269
(618) 632-7400
(618) 632-8376
Mailing address
PO BOX 339, 501 EMILY DRIVE, OFALLON, IL 62269
(618) 632-7400
(618) 632-8376
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
IL
103TC0700X
Clinical Psychologist
Primary
—
IL
Other
Enumeration date
05/22/2007
Last updated
09/11/2025
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