DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: HERITAGE BEHAVIORAL HEALTH CENTER

MEDICARE: HERITAGE BEHAVIORAL HEALTH CENTER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101Y00000XCounselor04070IL

General Provider Information

NPI Number : 1942657184
Entity Type Code : Organization
Provider Name (Legal Business Name) : HERITAGE BEHAVIORAL HEALTH CENTER
Provider Business Mailing Address
First Line : 151 N MAIN ST
Second Line :
City : DECATUR
State : IL
Zip : 62523-1206
Country : US
Telephone Number : 217-362-6262
Fax Number : 217-362-6290
Provider Business Practice Location Address
First Line : 320 E CENTRAL AVE
Second Line :
City : DECATUR
State : IL
Zip : 62521-4665
Country : US
Telephone Number : 217-877-9117
Fax Number : 217-362-6290
Authorized Official
Title or Position : PRESIDENT/CEO
Name : MRS. CANDACE CLEVENGER
Credential :
Telephone Number : 217-362-6262
Provider Enumeration Date : 05/18/2016
Last Update Date : 05/18/2016

Similar Medicare Providers

1578565701 — DR. DENNIS D COSTERISAN D.O.
Practice Location Address:
320 E CENTRAL AVE
DECATUR, IL
62521-4665
Practice Phone: 217-877-9117
Practice Fax: 217-877-3078
1053310557 — DR. BROOKE NICOLE BALLARD M.D.
Practice Location Address:
320 E CENTRAL AVE
DECATUR, IL
62521-4665
Practice Phone: 217-877-9117
Practice Fax: 217-864-2449
1194794917 — COMMUNITY HEALTH IMPROVEMENT CENTER
Practice Location Address:
320 E CENTRAL AVE
DECATUR, IL
62521-4665
Practice Phone: 217-877-9117
Practice Fax: 217-330-8770
1467534065 — DR. TRICIA SCERBA
Practice Location Address:
320 E CENTRAL AVE
DECATUR, IL
62521-4665
Practice Phone: 217-877-9117
Practice Fax: 217-877-3082
1477627412 — LARRY LIVINGSTON PHD
Practice Location Address:
320 E CENTRAL AVE
DECATUR, IL
62521-4665
Practice Phone: 217-877-9117
Practice Fax:
1457705063 — ELIZABETH HASSINGER MS, RD, LDN
Practice Location Address:
320 E CENTRAL AVE
DECATUR, IL
62521-4665
Practice Phone: 217-877-9117
Practice Fax:

Directions to “HERITAGE BEHAVIORAL HEALTH CENTER ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.