Organization · NPI-2

Coles County Mental Health Association, INC.

Clinic/Center, Mental Health (Including Community Mental Health Center) · Mattoon, IL

NPI number1184393118
StatusActive
Last updated in NPPESSep 13, 2021

Details

NPI
1184393118
Entity type
Organization (NPI-2)
Legal business name
Coles County Mental Health Association, INC.
Organization subpart
No
Enumeration date
Sep 13, 2021
Certification date
Aug 26, 2021
Last updated
Sep 13, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)––Yes

Other names

  • Willow Point Counseling (Doing Business As)

Practice location

300 Richmond Ave E
Mattoon, IL 61938-4649

Phone 217-238-5700

Mailing address

750 Broadway Ave E
Mattoon, IL 61938-4610

Phone 217-238-5735

Authorized official

Lynette Ashmore
Executive Director
2172385700

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