Organization · Type 2 NPI
Lutheran Child and Family Service of Illinois
Mental Health Clinic/Center (Including Community Mental Health Center) · Mount Vernon, IL
NPI number
1497084347
Active
Practice location
618 S. 42nd St
Mount Vernon, IL 62864
Fax (618) 242-3288
Mailing address
1 Oakbrook Ter Ste 501
Oakbrook Terrace, IL 60181-4479
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | None listed |
| Mental Health Counselor | 101YM0800X | None listed |
| Professional Counselor | 101YP2500X | None listed |
| Social Worker | 104100000X | None listed |
| Clinical Social Worker | 1041C0700X | None listed |
| Marriage & Family Therapist | 106H00000X | None listed |
| Foster Care Agency | 253J00000X | 012998-11 (IL) |
| 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...
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About NPI 1497084347
Lutheran Child and Family Service of Illinois's National Provider Identifier is 1497084347, issued on Dec 23, 2009. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Mount Vernon, IL. The record was last updated on Nov 11, 2022.