| Gateway Professional Services, Pc | |
|
1080 E Park St Carbondale IL 62901-3812 | |
| (877) 381-6538 | |
| Not Available |
| Full Name | Gateway Professional Services, Pc |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 1080 E Park St, Carbondale, Illinois |
| Authorized Official Name and Position | Roueen Rafeyan (PRESIDENT) |
| Authorized Official Contact | 3126631130 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gateway Professional Services, Pc 55 E Jackson Blvd Ste 1500 Chicago IL 60604-4184 Ph: (312) 663-1130 | Gateway Professional Services, Pc 1080 E Park St Carbondale IL 62901-3812 Ph: (877) 381-6538 |
| NPI Number | 1982242368 |
|---|---|
| Provider Enumeration Date | 12/16/2019 |
| Last Update Date | 06/14/2024 |
| Certification Date | 06/14/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982242368 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
Shawnee Health Service And Development Corp Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1025 N Wall St Rm 102, Carbondale, IL 62901 Phone: 618-519-9200 | |
Southern Il Regional Social Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 602 E College St, Carbondale, IL 62901 Phone: 618-457-6703 Fax: 618-457-8377 | |
Centerstone Of Illinois Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 250 S Lewis Ln, Carbondale, IL 62901 Phone: 618-937-6483 | |
Behavioral Services Of Southern Illinois Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7 Blackberry Ln, Carbondale, IL 62903 Phone: 618-303-9282 Fax: 618-319-1122 | |
Synapse Collaborative Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1235 Cedar Ct, Carbondale, IL 62901 Phone: 618-467-8805 Fax: 618-766-8073 | |
Centerstone Of Illinois Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 602 E College St, Carbondale, IL 62901 Phone: 618-937-6483 Fax: 618-937-1440 | |
Centerstone Of Illinois Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 604 E College St, Carbondale, IL 62901 Phone: 618-937-6483 |