Crawford Family Counseling Center

LBN: South Eastern Illinois Counseling Center Inc
Crawford Family Counseling Center is an health care organization with primary practice located at 204 W Highland Ave , Robinson IL 62454-1710. The organization recently has 5 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional, Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is the primary health care specialty. South Eastern Illinois Counseling Center Inc can be contacted via phone (618) 546-1021, or through Jackson, Glenn via phone (618) 395-4309.

Contact Information

Primary practice address
204 W Highland Ave Robinson IL 62454-1710
Phone: (618) 546-1021
Fax: (618) 544-7892
Website:
Map and Directions
Authorized official contact:
Name: Jackson, Glenn M. DIV. LSW, LCPC
Phone: (618) 395-4309

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Professional 101YP2500X
Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder 261QR0405X

Profile Details

NPI number 1891973772
LBN Legal business name South Eastern Illinois Counseling Center Inc
DBA Doing business as Crawford Family Counseling Center
Authorized official Jackson, Glenn M. DIV. LSW, LCPC
Entity Organization
Organization subpart 1 No
Enumeration date Feb 4th, 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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