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

Southern Il Institute of Behavioral Health PC

Organization Professional Counselor · NPI 1346562881

Southern Il Institute of Behavioral Health PC is a Professional Counselor in Glen Carbon, Illinois. Licensed in Illinois. Registered with an NPI since 2010.

Licensed in
IL
In the registry since
2010
Specialties on file
3
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

9 Junction Dr W Ste 6
Glen Carbon, IL 62034-2931
Phone: (618) 710-4123
Fax: (618) 731-4082
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 071.007664 (IL)
Professional Counselor Taxonomy 101YP2500X · Licence 018.0007365 (IL)
Clinical Psychologist Taxonomy 103TC0700X · Licence 071.007775 (IL)

Record details

NPI number1346562881
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tracy Sashidharan — Treasurer · (618) 710-4123
NPI enumeratedFebruary 25, 2010
Last updated in NPPESMay 19, 2012
Mailing addressPo Box 98, Edwardsville, IL 62025-0098

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