Provider Demographics
NPI:1912053950
Name:THE HELEN WHEELER CENTER FOR COMMUNITY MENTAL HEALTH
Entity Type:Organization
Organization Name:THE HELEN WHEELER CENTER FOR COMMUNITY MENTAL HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT, CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:JACKIE
Authorized Official - Middle Name:A
Authorized Official - Last Name:HAAS
Authorized Official - Suffix:
Authorized Official - Credentials:MSW, LCSW
Authorized Official - Phone:815-939-3543
Mailing Address - Street 1:202 N SCHUYLER AVE STE 101
Mailing Address - Street 2:
Mailing Address - City:KANKAKEE
Mailing Address - State:IL
Mailing Address - Zip Code:60901-3626
Mailing Address - Country:US
Mailing Address - Phone:815-939-3543
Mailing Address - Fax:815-939-3557
Practice Address - Street 1:202 N SCHUYLER AVE STE 101
Practice Address - Street 2:
Practice Address - City:KANKAKEE
Practice Address - State:IL
Practice Address - Zip Code:60901-3626
Practice Address - Country:US
Practice Address - Phone:815-939-3543
Practice Address - Fax:815-939-3557
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-25
Last Update Date:2023-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No251S00000XAgenciesCommunity/Behavioral Health