Healthcare Provider Details

I. General information

NPI: 1912369364
Provider Name (Legal Business Name): ALTERNATIVES COUNSELING, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/24/2016
Last Update Date: 06/14/2024
Certification Date: 06/14/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 W 3RD ST STE 706
ALTON IL
62002-6101
US

IV. Provider business mailing address

88 S MAIN ST
GLEN CARBON IL
62034-1415
US

V. Phone/Fax

Practice location:
  • Phone: 618-288-8085
  • Fax: 618-288-8959
Mailing address:
  • Phone: 618-288-8085
  • Fax: 618-288-8959

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: JACKI KNOWLES
Title or Position: BUSINESS MANAGER
Credential:
Phone: 618-288-8085