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

Fabian Brice Churchill, LSW

Individual provider Mental Health Counselor · NPI 1447055462

Fabian Brice Churchill, LSW is a Mental Health Counselor in Carbondale, Illinois. Works from 3 locations. Licensed in Illinois.

Licensed in
IL
In the registry since
2025
What do these letters mean?
LSW — Licensed Social Worker
A state-licensed social worker.

See every abbreviation used in this directory →

Practice location Address checks out

6360 Old Highway 13
Carbondale, IL 62901-5449
Phone: (815) 557-1433
Fax: (618) 997-7972
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1410 W Chestnut St, Marion, IL 62959-1910 — (618) 997-2129
  • 11264 Il Route 37, Marion, Il, IL 62959 — (618) 997-2129

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 150.113927 (IL)

Record details

NPI number1447055462
Entity typeIndividual (Type 1)
GenderMale
Credentials LSW
Sole proprietorNo
NPI enumeratedFebruary 14, 2025
Last updated in NPPESFebruary 14, 2025
Certification dateFebruary 10, 2025

Other providers in Carbondale