Organization · Type 2 NPI

Rainbow Cafe Lgbtq Center

Adolescent and Children Mental Health Clinic/Center · Carbondale, IL

NPI number 1457033763 Active

Practice location

900 E Walnut St Ste 6
Carbondale, IL 62901-3132

Mailing address

118 N Illinois Ave
Carbondale, IL 62901-1450

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist 175T00000XNone listed
Speech-Language Pathologist 235Z00000XNone listed
Adult Mental Health Clinic/Center 261QM0850XNone listed
Adolescent and Children Mental Health Clinic/Center Primary 261QM0855XNone listed

Adolescent and Children Mental Health Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.

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About NPI 1457033763

Rainbow Cafe Lgbtq Center's National Provider Identifier is 1457033763, issued on Aug 4, 2023. The primary taxonomy on file is Adolescent and Children Mental Health Clinic/Center (261QM0855X), and the practice location is in Carbondale, IL. The record was last updated on Oct 29, 2026.