Lutheran Social Services of Il

NPI #1205209715 in Marion, Illinois

Provider Information

NPI Number: 1205209715
Entity Type: Organization
Organization Name: Lutheran Social Services of Il
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Nov 5, 2015
Last Updated: Nov 5, 2015

Practice Location

Address: 102 E DEYOUNG ST STE B
City: Marion
State: Illinois
ZIP Code: 62959-2724
Phone: (618) 997-9076

Authorized Official

Name: TIM SHEEHAN
Title: VP OF HOME AND COMMUNITY SVCS
Phone: (773) 443-3562

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X
Social Worker - Clinical — Clinical	1041C0700X
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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