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Moultrie County Mental Health Center
Mental Health Clinic/Center (Including Community Mental Health Center) in Sullivan, Illinois
NPI 1811025240

Moultrie County Mental Health Center is a Mental Health Clinic/Center (Including Community Mental Health Center) based in Sullivan, IL and is specialized in Mental Health (Including Community Mental Health Center). Moultrie County Mental Health Center practices in Sullivan, IL. The NPI Number for Moultrie County Mental Health Center is 1811025240 and holds a License No. A-0043-0002-A (Illinois).

The current practice location address for Moultrie County Mental Health Center is 12 W Harrison St, Sullivan, IL and can be reached out via phone at 217-728-4358 and via fax at 217-728-2270.

Location: 12 W Harrison St, Sullivan, IL, 61951-1907
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1811025240
Provider Name
Moultrie County Mental Health Center
Credential
Provider Entity Type
Organization
Address
12 W Harrison St, Sullivan, IL, 61951-1907
Phone Number
217-728-4358
Fax Number
217-728-2270
Provider Enumeration Date
02/28/2007
Last Update Date
03/12/2024
institution
Provider Business Practice Location Address Details
Address
12 W Harrison St
City
Sullivan
State
Illinois
Zip
61951-1907
Phone Number
217-728-4358
Fax Number
217-728-2270
person
Provider Business Mailing Address Details
Address
12 W Harrison St
City
Sullivan
State
Illinois
Zip
61951-1907
Phone Number
217-728-4358
Fax Number
217-728-2270
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
149.011051 (Illinois)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
180.003537 (Illinois)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
178.004724 (Illinois)
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
Clinical
Taxonomy
1041C0700X
License No.
180.005810 (Illinois)
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 5
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
04105 (Illinois)
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 6
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
261QM0801X
License No.
A-0043-0002-A (Illinois)
Definition
Definition to come...
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