Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Good Samaritan House of Granite City, Inc

Organization Mental Health Clinic/Center (Including Community Mental Health Center) · NPI 1134612054

Good Samaritan House of Granite City, Inc is a Mental Health Clinic/Center (Including Community Mental Health Center) in Granite City, Illinois. Licensed in Illinois. Registered with an NPI since 2018.

Licensed in
IL
In the registry since
2018
Specialties on file
3
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1825 Delmar Ave
Granite City, IL 62040-4508
Phone: (618) 876-0607
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adolescent and Children Mental Health Clinic/Center (primary) Taxonomy 261QM0855X · Licence 149.019998 (IL)
Mental Health Clinic/Center (Including Community Mental Health Center) Taxonomy 261QM0801X · Licence 149.019998 (IL)
Adult Mental Health Clinic/Center Taxonomy 261QM0850X · Licence 149.019998 (IL)

Record details

NPI number1134612054
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Latosha Davis — Executive Director · (618) 219-9513
NPI enumeratedJune 14, 2018
Last updated in NPPESJune 14, 2018
Mailing address1825 Delmar Ave, Granite City, IL 62040-4508

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