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 Counselor · NPI 1285185173

Shawnee Health Service and Development Corp is a Counselor in Carbondale, Illinois. Licensed in Illinois. Registered with an NPI since 2016.

Licensed in
IL
In the registry since
2016
Specialties on file
5
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

404 S Lewis Ln
Carbondale, IL 62901
Phone: (618) 519-9200
Fax: (618) 549-1288
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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
Counselor Taxonomy 101Y00000X
Clinical Social Worker Taxonomy 1041C0700X
Family Medicine Physician Taxonomy 207Q00000X · Licence H80CS00667 (IL)
Psychiatry Physician Taxonomy 2084P0800X · Licence H80CS00667 (IL)

Record details

NPI number1285185173
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 Care, Same Day
NPI enumeratedOctober 17, 2016
Last updated in NPPESAugust 5, 2024
Certification dateAugust 5, 2024
Mailing addressPo Box 577, 109 California St., Carterville, IL 62918-0577

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