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MARY GATES-GULLY MS, CADC
NPI 1013105295
Counselor - Addiction (Substance Use Disorder) in Waterloo, IL

Active since October 12, 2007
988 N ILLINOIS ROUTE 3, WATERLOO, IL 62298(618) 939-4444(618) 939-4181 Get Directions Write a Review

NPPES record last updated: February 7, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mary Gates-gully Ms, Cadc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY GATES-GULLY MS, CADC (NPI 1013105295) is an individual addiction (substance use disorder) provider in Waterloo, Illinois, licensed in Illinois (21816) and active in the NPI registry since October 2007. She maintains a secondary practice location in Waterloo.

NPPES Registry Identity

NPI1013105295
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameMARY GATES-GULLYCredential: MS, CADC
Location Address988 N ILLINOIS ROUTE 3Waterloo, IL 62298-1000
Mailing Address904 E. Martin Luther King DriveCentralia, IL 62801 · (618) 533-1391 · Fax (618) 533-0012
Phone(618) 939-4444
Fax(618) 939-4181
Sole ProprietorNo
Enumeration DateOctober 12, 2007
Last NPPES UpdateFebruary 7, 2018
✔ NPI 1013105295 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in IL · 21816
988 N ILLINOIS ROUTE 3, Waterloo, IL 62298
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Secondary Practice Location 1

Location 1988 N Illinois Route 3Waterloo, IL 62298-1000 · Phone (618) 939-4444 · Fax (618) 939-4181

Other Identifiers 1

Medicaid370915481007IL

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DEBRA WILKERSON LPN
Licensed Practical Nurse
988 N ILLINOIS ROUTE 3
WATERLOO, IL 62298
Monroe County (618) 939-4444
DANIEL MOLL RSA
Rehabilitation Practitioner
988 N ILLINOIS ROUTE 3
WATERLOO, IL 62298
Monroe County (618) 939-4444
BONNIE LEWIS RSA
Rehabilitation Practitioner
988 N ILLINOIS ROUTE 3
WATERLOO, IL 62298
Monroe County (618) 939-4444
SHYRL HAMILTON MHP
Case Manager/Care Coordinator
988 N ILLINOIS ROUTE 3
WATERLOO, IL 62298
Monroe County (618) 939-4444
STEPHANIE MOORE LCSW
Social Worker
988 N ILLINOIS ROUTE 3
WATERLOO, IL 62298
Monroe County (618) 939-4444
ABAGAIL JEAN WHITAKER RSA
Rehabilitation Practitioner
988 N ILLINOIS ROUTE 3
WATERLOO, IL 62298
Monroe County (618) 939-4444
PEGGY ANN WORK MHP
Rehabilitation Practitioner
988 N ILLINOIS ROUTE 3
WATERLOO, IL 62298
Monroe County (618) 939-4444
MICHELLE MARTIN RSA
Rehabilitation Practitioner
988 N ILLINOIS ROUTE 3
WATERLOO, IL 62298
Monroe County (618) 939-4444

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Gates-gully's NPI number?

The NPI number for Mary Gates-gully is 1013105295. It was assigned to this individual provider in the NPPES registry on October 12, 2007.

Where is Mary Gates-gully located?

Mary Gates-gully practices at 988 N Illinois Route 3, Waterloo, IL 62298. The listed phone number is (618) 939-4444.

What is Mary Gates-gully's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Mary Gates-gully was last updated on February 7, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.