Gateway Family Services of Illinois
Gateway Family Services of Illinois provides Counselor services in Potomac, Illinois. Licensed in Illinois and Texas. Registered with an NPI since 2018.
- Licensed in
- IL, TX
- In the registry since
- 2018
- Specialties on file
- 5
Practice location Address checks out
7757 US Route 136Potomac, IL 61865-3047
Phone: (217) 649-0492
Fax: (217) 987-6386
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Social Worker (primary) | Taxonomy 1041C0700X · Licence 58515 (TX) |
|---|---|
| Counselor | Taxonomy 101Y00000X · Licence 180009566 (IL) |
| Professional Counselor | Taxonomy 101YP2500X · Licence 180009566 (IL) |
| Adult Mental Health Clinic/Center | Taxonomy 261QM0850X |
| Adolescent and Children Mental Health Clinic/Center | Taxonomy 261QM0855X |
Record details
| NPI number | 1487152344 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Michael Remole — Coo And Lead Therapist · (217) 649-0492 |
| Other names | Gateway Family Services Llc |
| NPI enumerated | January 25, 2018 |
| Last updated in NPPES | June 2, 2020 |
| Certification date | June 2, 2020 |
| Mailing address | 7757 Us Route 136, Potomac, IL 61865-3047 |