Southern Illinois Therapy Services, Pllc

NPI #1891435657 in Benton, Illinois

Provider Information

NPI Number: 1891435657
Entity Type: Organization
Organization Name: Southern Illinois Therapy Services, Pllc
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Mar 30, 2022
Last Updated: Apr 18, 2022

Practice Location

Address: 205 BAILEY LN STE 3W
City: Benton
State: Illinois
ZIP Code: 62812-1921
Phone: (618) 218-4544

Authorized Official

Name: SAMANTHA ANN KIMBLE, LCSW
Title: OWNER/LCSW
Phone: (618) 218-4544

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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