Southern Illinois Behavioral Services is a Psychology Clinic in Du Quoin, Illinois. It is located at 8271 E Jackson Street Rd, Du Quoin, IL and its contact number is 618-542-6722. The authorized person for Southern Illinois Behavioral Services is John R Venskus
who is Executive Director of the clinic and his/her contact number is 618-542-4357. The primary license number for Southern Illinois Behavioral Services is 180003682 (Professional) in Illinois. Southern Illinois Behavioral Services Clinic is specialized in psychological testing and evaluating or assessing patient's personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning. Accordingly, psychologists performs counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy. Psychologists can diagnose and treat mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability by psycheducational evaluation, therapy, remediation, and consultation.
Complete Clinic Profile:
Southern Illinois Behavioral Services Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Southern Illinois Behavioral Services
Specialization:
Psychology
Clinic Address:
8271 E Jackson Street Rd, Du Quoin, Illinois, 62832-3811
Phone:
618-542-6722
Fax:
618-542-6623
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
John R Venskus
Position:
Executive Director
Contact Number:
618-542-4357
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Southern Illinois Behavioral Services clinic are as mentioned below.
NPI Number:
1851533996
NPI Enumeration Date:
06 Apr, 2009
NPI Last Update On:
06 Apr, 2009
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Southern Illinois Behavioral Services are as mentioned below.
Specialization
License Number
State
Status
Professional
180003682
Illinois
Primary
Addiction (Substance Use Disorder)
149012186
Illinois
Secondary
Professional
180004129
Illinois
Secondary
Professional
180004366
Illinois
Secondary
Prescribing (Medical)
036077893
Secondary
Clinical
149008165
Illinois
Secondary
Clinical
149010561
Illinois
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
012300790
Medicaid
Illinois
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Southern Illinois Behavioral Services 8271 E Jackson Street Rd, Du Quoin, Illinois
Zip:
62832-3811
Phone Number:
618-542-6722
Fax Number:
618-542-6623
Patients can reach Southern Illinois Behavioral Services at 8271 E Jackson Street Rd, Du Quoin, Illinois or can call to book an appointment on 618-542-6722. *Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.