Lutheran Child and Family Service of Illinois

NPI #1497084347 in Mt Vernon, Illinois

Provider Information

NPI Number: 1497084347
Entity Type: Organization
Organization Name: Lutheran Child and Family Service of Illinois
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Dec 23, 2009
Last Updated: Nov 11, 2022

Practice Location

Address: 618 S. 42ND ST
City: Mt Vernon
State: Illinois
ZIP Code: 62864
Phone: (618) 242-3284

Authorized Official

Name: JAMES ALLEN WEBSTER
Title: SYSTEM SUPPORT ANALYST
Phone: (708) 907-1583

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X
Counselor - Mental Health — Mental Health	101YM0800X
Counselor - Professional — Professional	101YP2500X
Social Worker - Clinical — Clinical	1041C0700X
Marriage & Family Therapist	106H00000X
Foster Care Agency	253J00000X
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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