WEBSTER CANTRELL YOUTH ADVOCACY NPI 1710518741

NPI Information

NPI: 1710518741
Provider Name: WEBSTER CANTRELL YOUTH ADVOCACY

Other Name: WCYA SATELLITE

Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
202 E ELDORADO ST
DECATUR, IL
ZIP 62523
Phone: (217) 422-7864
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WEBSTER CANTRELL YOUTH ADVOCACY is a mental health counselor in Decatur, IL. WEBSTER CANTRELL YOUTH ADVOCACY NPI is 1710518741. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Wcya Satellite.

The provider's business location address is:

202 E ELDORADO ST
DECATUR, IL
ZIP 62523-039
Phone: (217) 422-7864
Fax: (217) 422-1324

The provider's authorized official is Michael Warner .
The authorized official title is Ceo and has the following contact phone number (217) 423-6961.

The enumeration date for this NPI number is 1/29/2020 and was last updated on 5/17/2021.

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
1	101YM0800X	Counselor	Mental Health			Yes
2	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)			No

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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