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

Shawnee Health Service and Development Corp

Organization Mental Health Counselor · NPI 1457381774

Shawnee Health Service and Development Corp is a Mental Health Counselor in Carbondale, Illinois. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
4
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

101 S Wall St
Carbondale, IL 62901-3021
Phone: (618) 519-9200
Fax: (618) 519-9404
Show map & directions

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
Obstetrics & Gynecology Physician Taxonomy 207V00000X

Record details

NPI number1457381774
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, Ob/Gyn; Shawnee Health Care, Ob/Gyn
NPI enumeratedJuly 3, 2006
Last updated in NPPESJuly 29, 2024
Certification dateJuly 29, 2024
Mailing address109 California St, P O Box 577, Carterville, IL 62918-0577

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