Southern Illinois Therapy Services, Pllc

LBN: Southern Illinois Therapy Services, Pllc
Southern Illinois Therapy Services, Pllc is an health care organization with primary practice located at 205 Bailey Ln Ste 3W , Benton IL 62812-1921. The organization recently has only one registered license in Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), which is considered as the primary health care specialty. Southern Illinois Therapy Services, Pllc can be contacted via phone (618) 218-4544, or through Kimble, Samantha Ann via phone (618) 218-4544.

Contact Information

Primary practice address
205 Bailey Ln Ste 3W Benton IL 62812-1921
Phone: (618) 218-4544
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Kimble, Samantha Ann Licensed Clinical Social Worker (LCSW)
Phone: (618) 218-4544

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X

Profile Details

NPI number 1891435657
LBN Legal business name Southern Illinois Therapy Services, Pllc
DBA Doing business as
Authorized official Kimble, Samantha Ann Licensed Clinical Social Worker (LCSW)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 30th, 2022
Last updated Apr 18th, 2022 - about 2 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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