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

St Marys Good Samaritan Inc

Organization Counselor · NPI 1568643021

St Marys Good Samaritan Inc is a Counselor in Centralia, Illinois. Licensed in Illinois. Registered with an NPI since 2007.

Licensed in
IL
In the registry since
2007
Specialties on file
3
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

1034 E Noleman St
Centralia, IL 62801-3348
Phone: (618) 436-6267
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X (IL)
Counselor Taxonomy 101Y00000X (IL)
Counselor Taxonomy 101Y00000X (IL)

Record details

NPI number1568643021
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tammy Simonton — Mng Billing · (618) 436-6267
Other names Carbondale Beh. Health Center
NPI enumeratedNovember 26, 2007
Last updated in NPPESNovember 26, 2007
Mailing address1034 E Noleman St, Centralia, IL 62801-3348

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