Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Southern Il Institute of Behavioral Health PC

Organization Professional Counselor · NPI 1346562881

Southern Il Institute of Behavioral Health PC provides Professional Counselor services in Glen Carbon, Illinois. Licensed in Illinois. Registered with an NPI since 2010.

Licensed in
IL
In the registry since
2010
Specialties on file
3
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

9 Junction Dr W Ste 3
Glen Carbon, IL 62034-2931
Phone: (618) 710-4123
Fax: (618) 731-4082
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 071.007664 (IL)
Professional Counselor Taxonomy 101YP2500X · Licence 018.0007365 (IL)
Clinical Social Worker Taxonomy 1041C0700X

Record details

NPI number1346562881
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shannon Walker — Owner/Clinical Psychologist · (618) 710-4123
NPI enumeratedFebruary 25, 2010
Last updated in NPPESSeptember 1, 2026
Certification dateSeptember 1, 2026
Mailing addressPo Box 98, Edwardsville, IL 62025-0098

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