Provider Demographics
NPI:1477866291
Name:COUNSELING CARES P.C.
Entity Type:Organization
Organization Name:COUNSELING CARES P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COUNSELOR
Authorized Official - Prefix:MR
Authorized Official - First Name:CRAIG
Authorized Official - Middle Name:EDWIN
Authorized Official - Last Name:WATERSTREET
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC
Authorized Official - Phone:309-833-2255
Mailing Address - Street 1:233 S MCARTHUR ST
Mailing Address - Street 2:
Mailing Address - City:MACOMB
Mailing Address - State:IL
Mailing Address - Zip Code:61455-2983
Mailing Address - Country:US
Mailing Address - Phone:309-833-2255
Mailing Address - Fax:309-833-2251
Practice Address - Street 1:233 S MCARTHUR ST
Practice Address - Street 2:
Practice Address - City:MACOMB
Practice Address - State:IL
Practice Address - Zip Code:61455-2983
Practice Address - Country:US
Practice Address - Phone:309-833-2255
Practice Address - Fax:309-833-2251
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-21
Last Update Date:2023-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180-000769101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty