Provider Demographics
NPI:1912224783
Name:J&C PSYCHOTHERAPY SERVICES INC
Entity Type:Organization
Organization Name:J&C PSYCHOTHERAPY SERVICES INC
Other - Org Name:RON ROTHSCHILD
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PSYCHOTHERAPIST
Authorized Official - Prefix:MR
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:STEVEN
Authorized Official - Last Name:ROTHSCHILD
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:217-384-7922
Mailing Address - Street 1:301 W. GREEN STREET
Mailing Address - Street 2:
Mailing Address - City:URBANA
Mailing Address - State:IL
Mailing Address - Zip Code:61801-3200
Mailing Address - Country:US
Mailing Address - Phone:217-384-7922
Mailing Address - Fax:217-328-6765
Practice Address - Street 1:301 W. GREEN STREET
Practice Address - Street 2:
Practice Address - City:URBANA
Practice Address - State:IL
Practice Address - Zip Code:61801-3200
Practice Address - Country:US
Practice Address - Phone:217-384-7922
Practice Address - Fax:217-328-6765
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-03
Last Update Date:2010-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty