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

Southern Illinois Healthcare Foundation, Inc

Organization Mental Health Counselor · NPI 1487070835

Southern Illinois Healthcare Foundation, Inc is a Mental Health Counselor in Charleston, Illinois. Registered with an NPI since 2014.

In the registry since
2014
Specialties on file
5
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

626 W Lincoln Ave
Charleston, IL 61920-2444
Phone: (217) 345-7702
Fax: (217) 345-7705
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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
Dentist Taxonomy 122300000X
Family Medicine Physician Taxonomy 207Q00000X

Record details

NPI number1487070835
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Larry McCulley — Ceo · (618) 332-0694
Other names Charleston Health Center
NPI enumeratedMarch 10, 2014
Last updated in NPPESJune 2, 2016
Mailing address2041 Goose Lake Rd, Sauget, IL 62206-2822

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