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S E Illinois Counseling Ctrs
Adolescent and Children Mental Health Clinic/Center in Fairfield, Illinois
NPI 1013186568

S E Illinois Counseling Ctrs is an Adolescent and Children Mental Health Clinic/Center based in Olney, IL and is specialized in Adolescent and Children Mental Health. S E Illinois Counseling Ctrs practices in Fairfield, IL. The NPI Number for S E Illinois Counseling Ctrs is 1013186568 and holds a License No. (Illinois).

The current practice location address for S E Illinois Counseling Ctrs is 407 N Basin Rd, Fairfield, IL and can be reached out via phone at 618-842-2125 and via fax at 618-842-2126.

Location: 407 N Basin Rd, Fairfield, IL, 62450-0913
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1013186568
Provider Name
S E Illinois Counseling Ctrs
Credential
Provider Entity Type
Organization
Address
407 N Basin Rd, Fairfield, IL, 62450-0913
Phone Number
618-842-2125
Fax Number
618-842-2126
Provider Enumeration Date
02/28/2008
Last Update Date
03/12/2024
institution
Provider Business Practice Location Address Details
Address
407 N Basin Rd
City
Fairfield
State
Illinois
Zip
62837-9639
Phone Number
618-842-2125
Fax Number
618-842-2126
person
Provider Business Mailing Address Details
Address
407 N Basin Rd
City
Fairfield
State
Illinois
Zip
62837-9639
Phone Number
618-842-2125
Fax Number
618-842-2126
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
()
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
261QM0801X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
person
Provider's Taxonomy Details 5
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
261QM0855X
License No.
()
Definition
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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