Organization · Type 2 NPI
Peoria Treatment Center, LLC
Substance Use Disorder Rehabilitation Clinic/Center · East Peoria, IL
NPI number
1073944567
Active
Practice location
731 Sabrina Dr Unit C
East Peoria, IL 61611-3582
Fax (402) 592-5901
Mailing address
1720 Lakepointe Dr Ste 117
Lewisville, TX 75057-6425
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Mental Health Clinic/Center | 261QM0850X | None listed |
| Substance Use Disorder Rehabilitation Clinic/Center Primary | 261QR0405X | None listed |
| Substance Use Disorder Rehabilitation Hospital Unit | 276400000X | None listed |
Substance Use Disorder Rehabilitation Clinic/Center: Definition to come...
8 other providers at this address
- Aneta M. Byrd, LPNLicensed Practical Nurse East Peoria, IL NPI 1508573528
- Briana Nesbit, LPNLicensed Practical Nurse East Peoria, IL NPI 1134871403
- Christina McGrew, APNNurse Practitioner Peoria, IL NPI 1477274991
- Christopher Walker, BAAddiction (Substance Use Disorder) Counselor East Peoria, IL NPI 1699427443
- Elena Maria Rickard, CADCAddiction (Substance Use Disorder) Counselor East Peoria, IL NPI 1487305736
- Israel P. Serrano, BS CADC MISAAddiction (Substance Use Disorder) Counselor East Peoria, IL NPI 1124770235
- Nicole J. Reese, BSWAddiction (Substance Use Disorder) Counselor East Peoria, IL NPI 1619621281
- Patheresa A. McCamy, LPNLicensed Practical Nurse East Peoria, IL NPI 1679225940
Other substance use disorder rehabilitation clinic/center providers in East Peoria
About NPI 1073944567
Peoria Treatment Center, LLC's National Provider Identifier is 1073944567, issued on Dec 9, 2013. The primary taxonomy on file is Substance Use Disorder Rehabilitation Clinic/Center (261QR0405X), and the practice location is in East Peoria, IL. The record was last updated on Oct 9, 2026.