Organization · Type 2 NPI

Karla Smith Foundation

Mental Health Clinic/Center (Including Community Mental Health Center) · O Fallon, IL

NPI number 1366923641 Active

Practice location

200 N Lincoln Ave
O Fallon, IL 62269-1415

Fax (618) 206-6508

Specialties and licenses

Taxonomy	Code	License
Mental Health Clinic/Center (Including Community Mental Health Center) Primary	261QM0801X	None listed

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

3 other providers at this address

Charles Craig Tompkins, LPCMental Health Counselor O Fallon, IL NPI 1215896519
Katie Ann McKelvy-Gibbons, MA, LCPCProfessional Counselor O Fallon, IL NPI 1629668165
Madisyn WebsterClinical Social Worker O Fallon, IL NPI 1134062953

Other mental health clinic/center (including community mental health center) providers in O Fallon

See all in O Fallon →

NPI record

NPI: 1366923641
Entity type: Organization (Type 2)
Issued: Aug 24, 2018
Last updated: Aug 24, 2018
Status: Active

Other names

<unavail>
Karla Smith Behavioral Health · doing business as
Karla Smith Behavioral Health · doing business as

Authorized official

Mrs. Emily M Smith
Executive Director
(618) 624-5771

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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 1366923641

Karla Smith Foundation's National Provider Identifier is 1366923641, issued on Aug 24, 2018. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in O Fallon, IL. The record was last updated on Aug 24, 2018.