Healthcare Provider Details

I. General information

NPI: 1346192978
Provider Name (Legal Business Name): LIPE CLINICAL SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/14/2026
Last Update Date: 02/14/2026
Certification Date: 02/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2807 CHERRY ST
MOUNT VERNON IL
62864-2442
US

IV. Provider business mailing address

2807 CHERRY ST
MOUNT VERNON IL
62864-2442
US

V. Phone/Fax

Practice location:
  • Phone: 618-417-7159
  • Fax:
Mailing address:
  • Phone: 618-417-7159
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: MRS. CHRISTINA ELIZABETH LIPE
Title or Position: FOUNDER/CLINICAL DIRECTOR
Credential: LCSW
Phone: 618-417-7159