Organization
HUMAN SUPPORT SERVICES
Active
Parent organization
HUMAN SUPPORT SERVICES
Organization subpart
Yes
Provider details
NPI number
Legal business name
HUMAN SUPPORT SERVICES
Authorized official
MRS. ANNE RILEY (PRESIDENT/CEO)
(618) 939-4444
Entity
Organization
Contact information
Practice address
228 BRADFORD LN STE 2, WATERLOO, IL 62298-3270
(618) 939-4444
(618) 939-4181
Mailing address
PO BOX 146, WATERLOO, IL 62298-0146
(618) 939-4444
(618) 939-4181
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06715560
BCBS
IL
01
—
10B862
BCBS
MO
Enumeration date
09/27/2013
Last updated
06/05/2024
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