| Heritage Behavioral Health Center | |
|
1029 N Water St Decatur IL 62523-1022 | |
| (217) 362-6262 | |
| (217) 362-6290 |
| Full Name | Heritage Behavioral Health Center |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 1029 N Water St, Decatur, Illinois |
| Authorized Official Name and Position | Candace Clevenger (PRESIDENT/CEO) |
| Authorized Official Contact | 2173626262 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Heritage Behavioral Health Center 151 N Main St Decatur IL 62523-1206 Ph: (217) 362-6262 | Heritage Behavioral Health Center 1029 N Water St Decatur IL 62523-1022 Ph: (217) 362-6262 |
| NPI Number | 1821540865 |
|---|---|
| Provider Enumeration Date | 10/25/2016 |
| Last Update Date | 12/14/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821540865 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | A-0200-0004-A (Illinois) | Primary |
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Heritage Behavioral Health Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 Educational Park, Decatur, IL 62526 Phone: 217-362-6262 Fax: 217-362-6290 | |
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