Organization · Type 2 NPI

Perry County Counseling Center Inc

Mental Health Clinic/Center (Including Community Mental Health Center) · Du Quoin, IL

NPI number 1063460897 Active

Practice location

1016 S Madison St, Suite A
Du Quoin, IL 62832-2442

Fax (618) 542-3442

Specialties and licenses

Taxonomy	Code	License
Professional Counselor	101YP2500X	None listed
Clinical Social Worker	1041C0700X	None listed
Family Medicine Physician	207Q00000X	None listed
Psychiatry Physician	2084P0800X	None listed
Mental Health Clinic/Center (Including Community Mental Health Center) Primary	261QM0801X	None listed
Family Nurse Practitioner	363LF0000X	None listed

Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...

43 other providers at this address

Other mental health clinic/center (including community mental health center) providers in Du Quoin

Perry County Counseling Center, Inc.Mental Health Clinic/Center (Including Community Mental Health Center) Du Quoin, IL NPI 1699056564

See all in Du Quoin →

NPI record

NPI: 1063460897
Entity type: Organization (Type 2)
Issued: May 4, 2006
Last updated: Mar 4, 2021
Status: Active

Other names

<unavail>
Southern Illinois Behavioral Services · doing business as
Southern Illinois Behavioral Services · doing business as

Authorized official

John R Venskus
Executive Director
(618) 542-4357

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1063460897

Perry County Counseling Center Inc's National Provider Identifier is 1063460897, issued on May 4, 2006. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Du Quoin, IL. The record was last updated on Mar 4, 2021.