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 1366156150

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
7
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

109 W Commercial Dr
Carterville, IL 62918-1936
Phone: (618) 519-9200
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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
General Practice Dentistry Taxonomy 1223G0001X
Dental Hygienist Taxonomy 124Q00000X
Family Medicine Physician Taxonomy 207Q00000X
Obstetrics & Gynecology Physician Taxonomy 207V00000X

Record details

NPI number1366156150
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationShawnee Health Service and Development Corporation
Authorized official Christina Carney — Ceo · (618) 956-9521
Other names Mobile Unit 1; Mobile Unit 1
NPI enumeratedJanuary 6, 2023
Last updated in NPPESApril 15, 2025
Certification dateApril 15, 2025
Mailing address109 California St, Po Box 577, Carterville, IL 62918

Other providers in Carterville