| Mathy House Counseling Center | |
|
404 W Green St Urbana IL 61801-3267 | |
| (217) 621-3014 | |
| Not Available |
| Full Name | Mathy House Counseling Center |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 404 W Green St, Urbana, Illinois |
| Authorized Official Name and Position | Eileen Mathy (PARTNER) |
| Authorized Official Contact | 2176213014 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mathy House Counseling Center 2408 N Nottingham Ct Champaign IL 61821-7017 Ph: (217) 621-3014 | Mathy House Counseling Center 404 W Green St Urbana IL 61801-3267 Ph: (217) 621-3014 |
| NPI Number | 1740656016 |
|---|---|
| Provider Enumeration Date | 08/20/2015 |
| Last Update Date | 08/20/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740656016 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 149.012714 (Illinois) | Primary |
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