Rainbow Cafe Lgbtq Center
Clinic/Center, Adolescent and Children Mental Health in Carbondale, IL. Organization (NPI-2).
NPI number1457033763
StatusActive
Last updated in NPPESOct 29, 2026
Details
- NPI
- 1457033763
- Entity type
- Organization (NPI-2)
- Legal business name
- Rainbow Cafe Lgbtq Center
- Organization subpart
- No
- Enumeration date
- Aug 4, 2023
- Certification date
- Oct 29, 2026
- Last updated
- Oct 29, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0855X | Clinic/Center, Adolescent and Children Mental Health | – | – | Yes |
| 175T00000X | Peer Specialist | – | – | |
| 235Z00000X | Speech-Language Pathologist, | – | – | |
| 261QM0850X | Clinic/Center, Adult Mental Health | – | – |
Other names
- Rainbow Community Health & Wellness (Doing Business As)
Practice location
900 E Walnut St Ste 6Carbondale, IL 62901-3132
Phone 618-525-9922
Mailing address
118 N Illinois AveCarbondale, IL 62901-1450
Phone 618-525-9922
Authorized official
Alexander R Socorro
Director
6185259922
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Other Adolescent and Children Mental Health Clinic/Center providers in Carbondale, IL
- Child And Adolescent Neuropsychology Services Of Southern Illinois, PlNPI 1255961348
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- Stephanie Marcela MondonNPI 1750111811
- Shawler Psychology, PLLCNPI 1710648605
All 5 Adolescent and Children Mental Health Clinic/Center providers in Carbondale · All 1,335 providers in Carbondale
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