Healthcare Provider Details

I. General information

NPI: 1821327453
Provider Name (Legal Business Name): CARA MARGARET RINEHART LCPC AND CADC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/10/2009
Last Update Date: 12/10/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

125 BROADWAY ST
LOUISVILLE IL
62858
US

IV. Provider business mailing address

PO BOX 67
LOUISVILLE IL
62858-0067
US

V. Phone/Fax

Practice location:
  • Phone: 618-665-4532
  • Fax:
Mailing address:
  • Phone: 618-665-4532
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number12479
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number180-005909
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: