Healthcare Provider Details

I. General information

NPI: 1326461740
Provider Name (Legal Business Name): CHRISTIAN SOCIAL SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/22/2014
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10286 FLEMING RD
CARTERVILLE IL
62918-3351
US

IV. Provider business mailing address

10286 FLEMING RD
CARTERVILLE IL
62918-3351
US

V. Phone/Fax

Practice location:
  • Phone: 618-985-2000
  • Fax: 618-985-2033
Mailing address:
  • Phone: 618-985-2000
  • Fax: 618-985-2033

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code253J00000X
TaxonomyFoster Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number003976-12
License Number StateIL
# 4
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: GARY HUELSMANN
Title or Position: EXECUTIVE DIRECTOR
Credential: M.S.W.
Phone: 618-688-1126