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Southern Illinois Healthcare Foundation, Inc.
Psychiatric/Mental Health Nurse Practitioner in East Saint Louis, Illinois
NPI 1740345156

Southern Illinois Healthcare Foundation, Inc. is a Psychiatric/Mental Health Nurse Practitioner based in East Saint Louis, IL and is specialized in Psychiatric/Mental Health. Southern Illinois Healthcare Foundation, Inc. practices in East Saint Louis, IL. The NPI Number for Southern Illinois Healthcare Foundation, Inc. is 1740345156 and holds a License No. (Illinois).

The current practice location address for Southern Illinois Healthcare Foundation, Inc. is 1736 Kingshighway, East Saint Louis, IL and can be reached out via phone at 618-874-3120.

Location: 1736 Kingshighway, East Saint Louis, IL, 62203-1808
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1740345156
Provider Name
Southern Illinois Healthcare Foundation, Inc.
Credential
Provider Entity Type
Organization
Address
1736 Kingshighway, East Saint Louis, IL, 62203-1808
Phone Number
618-874-3120
Fax Number
Provider Enumeration Date
12/26/2006
Last Update Date
02/15/2025
institution
Provider Business Practice Location Address Details
Address
1736 Kingshighway
City
East Saint Louis
State
Illinois
Zip
62204
Phone Number
618-874-3120
Fax Number
person
Provider Business Mailing Address Details
Address
1736 Kingshighway
City
East Saint Louis
State
Illinois
Zip
62204
Phone Number
618-874-3120
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
Clinical
Taxonomy
1041C0700X
License No.
()
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
person
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
()
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 4
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
261QF0400X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 5
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 6
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
()
Definition
Definition to come...
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