LUTHERAN SOCIAL SERVICES OF ILLINOIS NPI 1578942108

NPI Information

NPI: 1578942108
Provider Name: LUTHERAN SOCIAL SERVICES OF ILLINOIS

Other Name: PRISONER & FAMILY MINISTRY

Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
1798 SUMMIT AVE
STE 104
EAST SAINT LOUIS, IL
ZIP 62205
Phone: (618) 604-3459
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LUTHERAN SOCIAL SERVICES OF ILLINOIS is a mental health (including community mental health center) clinic center in East Saint Louis, IL. LUTHERAN SOCIAL SERVICES OF ILLINOIS NPI is 1578942108. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Prisoner & Family Ministry.

The provider's business location address is:

1798 SUMMIT AVE
STE 104
EAST SAINT LOUIS, IL
ZIP 62205-800
Phone: (618) 604-3459
Fax: (618) 875-9695

The provider's authorized official is Greerann Hamblet .
The authorized official title is Business Manager and has the following contact phone number (847) 390-1422.

The enumeration date for this NPI number is 5/28/2015 and was last updated on 5/28/2015.

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	Primary
1	101Y00000X	Counselor		No
2	104100000X	Social Worker		No
3	171M00000X	Case Manager/Care Coordinator		No
4	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	Yes

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

NPI Synchronization or Removal

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