| Collaborative Solutions Institute | |
|
200 W Front St Suite 400a Bloomington IL 61701-5048 | |
| (309) 828-2860 | |
| (309) 827-2637 |
| Full Name | Collaborative Solutions Institute |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 200 W Front St, Bloomington, Illinois |
| Authorized Official Name and Position | Cheryl L Gaines (CEOPRESIDENT) |
| Authorized Official Contact | 3098282860 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Collaborative Solutions Institute 200 W Front St Suite 400a Bloomington IL 61701-5048 Ph: (309) 828-2860 | Collaborative Solutions Institute 200 W Front St Suite 400a Bloomington IL 61701-5048 Ph: (309) 828-2860 |
| NPI Number | 1902928005 |
|---|---|
| Provider Enumeration Date | 04/06/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902928005 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (Illinois) | Primary |
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