| Human Support Services | |
|
224 N Main St Rear Waterloo IL 62298-1264 | |
| (618) 939-4444 | |
| (618) 939-4181 |
| Full Name | Human Support Services |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 224 N Main St Rear, Waterloo, Illinois |
| Authorized Official Name and Position | Robert Cole (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6189394444 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Human Support Services Po Box 146 Waterloo IL 62298-0146 Ph: (618) 939-4444 | Human Support Services 224 N Main St Rear Waterloo IL 62298-1264 Ph: (618) 939-4444 |
| NPI Number | 1437586112 |
|---|---|
| Provider Enumeration Date | 09/26/2013 |
| Last Update Date | 09/26/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437586112 | NPI | - | NPPES |
| 06715560 | Other | IL | BCBS |
| 10B862 | Other | MO | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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Human Support Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 228 Bradford Ln Ste 2, Waterloo, IL 62298 Phone: 618-939-4444 | |
Human Support Services Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 988 N Illinois Route 3, Waterloo, IL 62298 Phone: 618-939-4444 Fax: 618-939-4181 | |
Human Support Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 228 Bradford Ln, Apartment 5, Waterloo, IL 62298 Phone: 618-939-4444 Fax: 618-939-4181 |