SOS CRISIS INTERVENTION, LLC (NPI# 1215447610) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215447610 |
| Entity Type | Organization |
| Organization Name | SOS CRISIS INTERVENTION, LLC |
| Practice Address |
901 Terrace Ct O Fallon IL 62269-3437 |
| Mailing Address |
4020 Green Mount Crossing Dr # 325 Shiloh IL 62269-7287 |
| Practice Telephone | 6183352938 |
| Mailing Telephone | 6183352938 |
| Mailing Fax Number | 6185514377 |
| Enumeration Date | 2017-10-11 |
| Last Update Date | 2019-05-13 |
| Authorized Official Name | SHANNON FRANCO (PRESIDENT) |
| Authorized Official Telephone | 6183352938 |
| Authorized Official Credential | LCPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
180011222 | IL | Behavioral Health & Social Service Providers |
| Street Address |
901 TERRACE CT |
| City | O FALLON |
| State | IL |
| Zip Code | 62269-3437 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326648155 | Kayla Revermann | Pharmacist | 1350 W Us Highway 50, Pharmacy, O Fallon, IL 62269 | 2020-10-30 |
| 1942814272 | Ashley Monique Gibson | Behavior Technician | Eagle Center, Ste 10, Ofallon, IL 62269 | 2020-09-03 |
| 1013533819 | Michelle Denise Voudrie | Registered Nurse | 321 Regency Park, O'fallon, IL 62269 | 2020-06-18 |
| 1598398455 | Washington University Physicians In Illinois - Cancer Center Pharmacy | Pharmacy | 1418 Cross Street, Suite 180, Shiloh, IL 62269 | 2020-02-19 |
| 1962063800 | Gerald Paskert | Pharmacist | 122 W. State St., O'fallon, IL 62269 | 2019-06-21 |
| 1780144808 | Bonnie Jean Lampe | Physical Therapy Assistant | 316 Donna Dr, O'fallon, IL 62269 | 2019-03-24 |
| 1134633993 | Latisha Smith | Psychologist | 600 S. Smiley St., O'fallon, IL 62269 | 2017-11-30 |
| 1619407210 | Brenna M Thomas | Registered Nurse | 1310 Engle Ct, O'fallon, IL 62269 | 2017-06-15 |
| 1881135622 | Pc Associates, LLC | Family Medicine | 800 East Highway 50, O'fallon, IL 62269 | 2017-03-13 |
| 1700230539 | Jennifer Farrell | Family Medicine | 3 St. Elizabeth's Blvd, Ste. 4000, O'fallon, IL 62269 | 2016-04-18 |
| Find all providers in zip 62269 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134720329 | Come As You Are Counseling LLC | Counselor | 1001 Boardwalk Springs Place, Suite 111, O Fallon, MO 63368 | 2020-11-04 |
| 1740751106 | Belinda M. Clark | Counselor | 126 Alice Dr, O Fallon, IL 62269-1601 | 2018-12-11 |
| 1316423981 | Jessica Mcdaniel | Counselor | 1117 Old Vincennes Trl, O Fallon, IL 62269-4115 | 2018-07-17 |
| 1538655873 | Paul Richard Marion | Counselor | 835 W Terra Ln, O Fallon, MO 63366-2300 | 2018-07-10 |
| 1801394515 | Bridget Marie Beacom | Counselor | 746 Springfield Dr, O Fallon, MO 63366-4942 | 2018-01-28 |
| 1811445729 | Lisa Randolph | Counselor | 8576 Veterans Memorial Pkwy, O Fallon, MO 63366-3080 | 2016-09-20 |
| 1023186806 | Christianne Meier Judy | Counselor | 635 S Lincoln Ave, O Fallon, IL 62269-2663 | 2006-12-01 |
| 1194736397 | William Carl Rook | Counselor | 732 Sussex Way, Suite B, O Fallon, IL 62269-3074 | 2006-08-11 |
| 1710976345 | Susan Patricia Frew | Counselor | 103 Lincoln St, O Fallon, MO 63366-1603 | 2005-10-17 |
| 1013904580 | Alexander F Macdonald | Counselor | 3 Saint Elizabeth Blvd Ste 4000, O Fallon, IL 62269-1284 | 2005-09-30 |
| Find all providers in O FALLON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.