Wabash Family Counseling Ctr

LBN: S E Illinois Counseling Ctrs Inc
Wabash Family Counseling Ctr is an health care organization with primary practice located at 602 E 5Th St , Mount Carmel IL 62863-2152. The organization recently has 5 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Adolescent and Children Mental Health. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is the primary health care specialty. S E Illinois Counseling Ctrs Inc can be contacted via phone (618) 262-7473, or through Jackson, Glenn via phone (618) 395-4509.

Contact Information

Primary practice address
602 E 5Th St Mount Carmel IL 62863-2152
Phone: (618) 262-7473
Fax: (618) 263-6579
Website:
Map and Directions
Authorized official contact:
Name: Jackson, Glenn M. DIV., LSW, LCPC
Phone: (618) 395-4509

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Agencies / Community/Behavioral Health 251S00000X
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X

Profile Details

NPI number 1477722924
LBN Legal business name S E Illinois Counseling Ctrs Inc
DBA Doing business as Wabash Family Counseling Ctr
Authorized official Jackson, Glenn M. DIV., LSW, LCPC
Entity Organization
Organization subpart 1 No
Enumeration date Feb 28th, 2008
Last updated May 5th, 2016 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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