Organization · Type 2 NPI

KC Eating Disorder Clinic PLLC

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

NPI number 1740169655 Active

Practice location

313 N Mattis Ave Ste 110
Champaign, IL 61821-7901

Call (217) 377-0299 Map

Mailing address

203 Flora Dr
Champaign, IL 61821-3212

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Mental Health Clinic/Center (Including Community Mental Health Center) Primary 261QM0801XNone listed

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

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About NPI 1740169655

KC Eating Disorder Clinic PLLC's National Provider Identifier is 1740169655, issued on Aug 27, 2025. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Champaign, IL. The record was last updated on Aug 27, 2025.