Provider Demographics
NPI:1508088303
Name:CARLE CLINIC RESOLUTIONS EAP
Entity Type:Organization
Organization Name:CARLE CLINIC RESOLUTIONS EAP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:BETSY
Authorized Official - Middle Name:
Authorized Official - Last Name:EPLING
Authorized Official - Suffix:
Authorized Official - Credentials:CEAP
Authorized Official - Phone:217-383-3202
Mailing Address - Street 1:204 W UNIVERSITY AVE
Mailing Address - Street 2:
Mailing Address - City:URBANA
Mailing Address - State:IL
Mailing Address - Zip Code:61801-1741
Mailing Address - Country:US
Mailing Address - Phone:217-383-3202
Mailing Address - Fax:217-328-3581
Practice Address - Street 1:204 W UNIVERSITY AVE
Practice Address - Street 2:
Practice Address - City:URBANA
Practice Address - State:IL
Practice Address - Zip Code:61801-1741
Practice Address - Country:US
Practice Address - Phone:217-383-3202
Practice Address - Fax:217-328-3581
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty