OrganizationMidwest Clinical CounselingCounselorBehavioral Health & Social Service ProvidersPractice Address915 S Grand Ave W, Springfield, IL 62704-3642(217) 726-8744PECOS EnrollmentBased on the most recent information from CMS, provider Midwest Clinical Counseling does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1336445030Provider TypeOrganizationFull NameMidwest Clinical CounselingSubpartNoEnumeration Date1/28/2011Last Updated1/28/2011Contact InformationPractice LocationPractice Address915 S Grand Ave W, Springfield, IL 62704-3642Phone(217) 726-8744Fax(877) 721-7028Mailing LocationMailing Address915 S Grand Ave W, Springfield, IL 62704-3642Phone(217) 726-8744Fax(877) 721-7028Authorized OfficialNameGoatley, Keir (Director)Phone(217) 726-8744Provider TaxonomiesCodeDescriptionLicenseCode101YP2500XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer