| Tazwood Mental Health Center, Inc. | |
|
1421 Valle Vista Blvd Pekin IL 61554 | |
| (309) 347-5579 | |
| (309) 347-4264 |
| Full Name | Tazwood Mental Health Center, Inc. |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1421 Valle Vista Blvd, Pekin, Illinois |
| Authorized Official Name and Position | Dave Walter Mingus (CEO) |
| Authorized Official Contact | 3093475579 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tazwood Mental Health Center, Inc. 3248 Vandever Ave Pekin IL 61554-6257 Ph: (309) 347-5522 | Tazwood Mental Health Center, Inc. 1421 Valle Vista Blvd Pekin IL 61554 Ph: (309) 347-5579 |
| NPI Number | 1013186683 |
|---|---|
| Provider Enumeration Date | 02/27/2008 |
| Last Update Date | 07/12/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013186683 | NPI | - | NPPES |
Tazwood Mental Health Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3248 Vandever Ave, Pekin, IL 61554 Phone: 309-347-5579 Fax: 309-347-5579 | |
Human Service Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1421 Valle Vista Blvd, Pekin, IL 61554 Phone: 309-347-5579 Fax: 309-347-4264 | |
Jessie Shanks Counseling, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 514 Broadway St Unit 1351, Pekin, IL 61555 Phone: 309-322-2900 Fax: 309-322-2901 | |
Tazwood Center For Human Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3248 Vandever Ave, Pekin, IL 61554 Phone: 309-347-5522 Fax: 309-347-4264 | |
Tazwood Mental Health Center, Inc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 3248 Vandever Ave, Pekin, IL 61554 Phone: 309-347-5522 Fax: 309-347-4264 | |
Organic Elements Counseling Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1617 Valle Vista Blvd Ste 1, Pekin, IL 61554 Phone: 309-267-5352 |