Rainbow Cafe Lgbtq Center is a
Clinic/center - Adolescent And Children Mental Health based in Carbondale, Illinois. Rainbow Cafe Lgbtq Center is licensed to practice in * (Not Available) (license number ) and their current practice location is
120 N Illinois Ave, Carbondale, Illinois. It can be reached at their office (for appointments etc.) via phone at
(618) 525-9922.
NPI number for Rainbow Cafe Lgbtq Center is 1457033763 and their current mailing address is 118 N Illinois Ave, Carbondale, Illinois. Rainbow Cafe Lgbtq Center
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1457033763.
Healthcare Provider's Profile
| Full Name | Rainbow Cafe Lgbtq Center |
|---|
| Type | Facility |
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| Speciality | Clinic/center - Adolescent And Children Mental Health |
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| Location | 120 N Illinois Ave, Carbondale, Illinois |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1457033763
- Provider Enumeration Date: 08/04/2023
- Last Update Date: 06/20/2026
Medical Identifiers
Medical identifiers for Rainbow Cafe Lgbtq Center such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1457033763 | NPI | - | NPPES |
| BHC-2427502 | Medicaid | IL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Secondary |
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Secondary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Rainbow Cafe Lgbtq Center is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Rainbow Cafe Lgbtq Center
118 N Illinois Ave,
Carbondale, IL 62901-1450
Ph: (618) 525-9922 | Rainbow Cafe Lgbtq Center
120 N Illinois Ave,
Carbondale, IL 62901-1450
Ph: (618) 525-9922 |
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