Moultrie County Mental Health Center
Moultrie County Mental Health Center provides Addiction (Substance Use Disorder) Counselor services in Sullivan, Illinois. Licensed in Illinois. Registered with an NPI since 2007.
- Licensed in
- IL
- In the registry since
- 2007
- Specialties on file
- 8
Practice location Address checks out
12 W Harrison StSullivan, IL 61951-1907 Not confirmed with CMS for 10 years — call before visiting
Phone: (217) 728-4358
Fax: (217) 728-2270
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community/Behavioral Health Agency (primary) | Taxonomy 251S00000X · Licence 04105 (IL) |
|---|---|
| Addiction (Substance Use Disorder) Counselor | Taxonomy 101YA0400X · Licence A-0043-0002-A (IL) |
| Mental Health Counselor | Taxonomy 101YM0800X · Licence 04105 (IL) |
| Professional Counselor | Taxonomy 101YP2500X · Licence 180.005810 (IL) |
| Professional Counselor | Taxonomy 101YP2500X · Licence 178.004724 (IL) |
| Professional Counselor | Taxonomy 101YP2500X · Licence 180.003537 (IL) |
| Clinical Social Worker | Taxonomy 1041C0700X · Licence 149.011051 (IL) |
| Mental Health Clinic/Center (Including Community Mental Health Center) | Taxonomy 261QM0801X · Licence 36052881 (IL) |
Record details
| NPI number | 1811025240 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | David Cole — Executive Director · (217) 728-4358 |
| NPI enumerated | February 28, 2007 |
| Last updated in NPPES | July 25, 2016 |
| Mailing address | 12 W Harrison St, Sullivan, IL 61951-1907 |
Other providers in Sullivan
-
Lisa Dickens, MSCADC
33 Leisure Acres, Sullivan, IL 61951-9404 · (217) 294-0802