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

Southpark Psychology Ltd

Organization Professional Counselor · NPI 1558470419

Southpark Psychology Ltd is a Professional Counselor in Moline, Illinois. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
4
What do these letters mean?
Ltd — Limited
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2100 52nd Ave
Moline, IL 61265-6366
Phone: (309) 797-2900
Fax: (309) 797-2147
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counseling Psychologist (primary) Taxonomy 103TC1900X
Professional Counselor Taxonomy 101YP2500X
Clinical Psychologist Taxonomy 103TC0700X
Clinical Social Worker Taxonomy 1041C0700X

Record details

NPI number1558470419
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Carl Vincent — Owner · (309) 797-2900
NPI enumeratedAugust 30, 2006
Last updated in NPPESJanuary 26, 2018
Mailing address2100 52nd Ave, Moline, IL 61265-6366

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