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SARAH BUSH LINCOLN HEALTH CENTER NPI 1447791447


NPI Information

NPI: 1447791447
Provider Name: SARAH BUSH LINCOLN HEALTH CENTER

Doing Business As: SBL PSYCHIATRY & COUNSELING

Classification: Psychiatry & Neurology - 2084P0804X
Entity Type: Organization

Specialization: Child & Adolescent Psychiatry

Address:
1005 HEALTH CENTER DR
SUITE 101
MATTOON, IL
ZIP 61938
Phone: (217) 238-4866
Get Directions

SARAH BUSH LINCOLN HEALTH CENTER is a child and adolescent psychiatry psychiatry neurology in Mattoon, IL. The provider is child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. SARAH BUSH LINCOLN HEALTH CENTER NPI is 1447791447. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Sbl Psychiatry & Counseling.

The provider's business location address is:

1005 HEALTH CENTER DR
SUITE 101
MATTOON, IL
ZIP 61938-693
Phone: (217) 238-4866
Fax: (217) 238-4868

The provider's authorized official is Dennis Pluard .
The authorized official title is Vp Of Operations and has the following contact phone number (217) 258-2102.

The enumeration date for this NPI number is 3/10/2017 and was last updated on 3/10/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12084P0804XPsychiatry & NeurologyChild & Adolescent PsychiatryYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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