Lutheran Child And Family Service Of Illinois

LBN: Lutheran Child And Family Service Of Illinois
Lutheran Child And Family Service Of Illinois is an health care organization with primary practice located at 618 S. 42Nd St , Mt Vernon IL 62864. The organization recently has 8 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Marriage & Family Therapist, Agencies / Foster Care Agency, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center). Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) is the primary health care specialty. Lutheran Child And Family Service Of Illinois can be contacted via phone (618) 242-3284, or through Webster, James Allen via phone (708) 907-1583.

Contact Information

Primary practice address
618 S. 42Nd St Mt Vernon IL 62864
Phone: (618) 242-3284
Fax: (618) 242-3288
Website:
Map and Directions
Authorized official contact:
Name: Webster, James Allen
Phone: (708) 907-1583

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Professional 101YP2500X
Behavioral Health & Social Service Providers / Social Worker 104100000X
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X
Agencies / Foster Care Agency 253J00000X 012998-11 Illinois
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X

Profile Details

NPI number 1497084347
LBN Legal business name Lutheran Child And Family Service Of Illinois
DBA Doing business as
Authorized official Webster, James Allen
Entity Organization
Organization subpart 1 No
Enumeration date Dec 23rd, 2009
Last updated Nov 11th, 2022 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497084347 NPPES
Illinois MEDICAID 2B05-CHR-025

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