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

Shawnee Health Service and Development Corp

Organization Mental Health Counselor · NPI 1053002907

Shawnee Health Service and Development Corp is a Mental Health Counselor in Carterville, Illinois. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
3
What do these letters mean?
Corp — Corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

6355 Brandhorst Rd
Carterville, IL 62918-3322
Phone: (618) 519-9200
Fax: (618) 985-9096
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Federally Qualified Health Center (FQHC) (primary) Taxonomy 261QF0400X
Mental Health Counselor Taxonomy 101YM0800X
Clinical Social Worker Taxonomy 1041C0700X

Record details

NPI number1053002907
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationShawnee Health Service and Development Corp
Authorized official Christina Carney — Ceo · (618) 956-9521
Other names Shawnee Health Social Services; Shawnee Health Social Services
NPI enumeratedMay 19, 2023
Last updated in NPPESJuly 16, 2024
Certification dateJuly 16, 2024
Mailing addressPo Box 577, Carterville, IL 62918-0577

Other providers in Carterville