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Active NPI 1245072172 Organization (Entity Type 2) Subpart Facility

Human Support Services

Clinic/Center - Mental Health (Including Community Mental Health Center) • Waterloo, IL

Parent Organization: Human Support Services

About Human Support Services NPI 1245072172 Summary

Human Support Services is a verified healthcare organization specializing in Clinic/Center - Mental Health (Including Community Mental Health Center) operating in Waterloo, IL. Located at 228 BRADFORD LN APT 1-10, this facility provides patient care and medical services under National Provider Identifier (NPI) 1245072172.

Human Support Services operates as a subpart facility of Human Support Services. Administrative operations and authorized compliance are overseen by Melissa Jones (Director Of Business Operations/Qua).

The facility is associated with 3 linked healthcare practitioners providing clinical services.

Facility Location & Contact Primary Location

Facility Address

228 Bradford Ln Apt 1-10

Waterloo, IL 622983270

Telephone 6189394444

Fax 6189394181

Authorized Official Information

Authorized Contact Name

Melissa Jones

Title / Role

Director Of Business Operations/qua

Official Telephone

6189394444

Facility Classifications & Specialties

Clinic/Center - Mental Health (Including Community Mental Health Center) Primary Taxonomy

NUCC Taxonomy Code: 261QM0801X

Definition to come...

Community Based Residential Treatment Facility, Mental Illness

NUCC Taxonomy Code: 320800000X

A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

Affiliated Practitioners & Clinicians

Healthcare professionals and specialists practicing at this facility or affiliated group locations

3 Linked

Stephanie Moore , LCSW NPI 1013682525

Social Worker

Waterloo, IL

View Practitioner Profile →

Cari Stefani , FNP-BC, PMHNP-BC NPI 1508286477

Nurse Practitioner - Psychiatric/Mental Health

Granite City, IL

View Practitioner Profile →

Jennifer Tourville , MHP NPI 1891344248

Counselor - Mental Health

Waterloo, IL

View Practitioner Profile →

Facility & Registry History Timeline

Chronological log of verified NPI organization updates, branch relocations, and registry updates

6 Historical Events

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NPI Profile Active June 11, 2024

NPI status registered as active in NPPES database

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Updated Practice Location June 11, 2024

Registered at 228 BRADFORD LN APT 1-10, WATERLOO, IL 622983270 (Tel: 6189394444)

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Updated Business Mailing Address June 11, 2024

Registered at PO BOX 146, WATERLOO, IL 622980146 (Tel: 6189394444)

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Organization / Clinic Name Updated June 11, 2024

Operating as HUMAN SUPPORT SERVICES

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 11, 2024

Clinic/Center

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Initial NPI Registration & Enumeration June 11, 2024

First registered as active Healthcare Organization in NPPES Database.

Patient & Community Reviews

Verified patient ratings, healthcare experiences, and facility photos

0 Reviews

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NPI Organization Metadata

NPI Number: 1245072172

Entity Type:

Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)

Enumeration Date: June 11, 2024

Last Update: June 11, 2024

Update or Correct Listing

Mailing Address

Po Box 146

Waterloo, IL 622980146

Phone: 6189394444

Public Domain Record This organization profile is sourced from public domain datasets published by CMS and NPPES under FOIA.

⚠️ Medical Disclaimer

Facility details are provided for public information only. In case of a medical emergency, call 911 immediately.