| Behavioral Health Alternatives, Inc | |
|
337 E Ferguson Ave Wood River IL 62095-2003 | |
| (618) 251-4073 | |
| (618) 251-6246 |
| Full Name | Behavioral Health Alternatives, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 337 E Ferguson Ave, Wood River, Illinois |
| Authorized Official Name and Position | Belinda L. Gunning (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6182514073 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Behavioral Health Alternatives, Inc 337 E Ferguson Ave Wood River IL 62095-2003 Ph: (618) 251-4073 | Behavioral Health Alternatives, Inc 337 E Ferguson Ave Wood River IL 62095-2003 Ph: (618) 251-4073 |
| NPI Number | 1619062676 |
|---|---|
| Provider Enumeration Date | 10/04/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 2567462765 |
|---|---|
| Medicare Enrollment ID | O20070112000150 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619062676 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Jennifer S Thery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730509159 PECOS PAC ID: 3476777566 Enrollment ID: I20140611000511 |
| Provider Name | Samantha Kay Rogers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245706548 PECOS PAC ID: 0446504872 Enrollment ID: I20181121000244 |
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