Individual provider · Type 1 NPI

Kim Lantz

Mental Health Counselor · Centralia, IL

NPI number 1558208686 Active

Practice location

904 E Martin Luther King Dr
Centralia, IL 62801

Call (618) 533-1391 Map

Fax (618) 533-0012

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1558208686

Kim Lantz's National Provider Identifier is 1558208686, issued on Apr 29, 2026. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Centralia, IL. The record was last updated on Apr 29, 2026.