| 101 Behavioral Pllc | |
|
501 Clinton St Carlyle IL 62231-1503 | |
| (732) 552-5087 | |
| Not Available |
| Full Name | 101 Behavioral Pllc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 501 Clinton St, Carlyle, Illinois |
| Authorized Official Name and Position | Yaacov Weiss (OWNER) |
| Authorized Official Contact | 7325525087 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 101 Behavioral Pllc 101 N Crest Pl Lakewood NJ 08701-2984 Ph: () - | 101 Behavioral Pllc 501 Clinton St Carlyle IL 62231-1503 Ph: (732) 552-5087 |
| NPI Number | 1356299119 |
|---|---|
| Provider Enumeration Date | 03/18/2026 |
| Last Update Date | 03/18/2026 |
| Certification Date | 03/12/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356299119 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Community Resource Center Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 580 8th St, Carlyle, IL 62231 Phone: 618-594-4581 Fax: 618-594-8482 |