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TMHC EAST PEORIA SA
NPI 1356466007
Clinic/Center - Rehabilitation, Substance Use Disorder in East Peoria, IL

Active since March 20, 2007
111 W. WASHINGTON STREET, SUITE 230, EAST PEORIA, IL 61611(309) 694-6462(309) 694-7812 Get Directions Write a Review

NPPES record last updated: July 12, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tmhc East Peoria Sa NPPES

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

TMHC EAST PEORIA SA (NPI 1356466007) is a healthcare organization registered as a rehabilitation, substance use disorder in East Peoria, Illinois and active in the NPI registry since March 2007. The organization lists Dave Walter Mingus, Ceo, as its authorized official.

NPPES Registry Identity

NPI1356466007
Entity TypeOrganization
Primary Taxonomy261QR0405X
Legal Business NameTAZWOOD MENTAL HEALTH CENTER, INC.
Location Address111 W. WASHINGTON STREET, SUITE 230East Peoria, IL 61611
Mailing Address3248 Vandever AvePekin, IL 61554-6257 · (309) 347-5522 · Fax (309) 347-4264
Phone(309) 694-6462
Fax(309) 694-7812
Organization SubpartNo
Authorized OfficialDave Walter MingusCeo · (309) 347-5579
Enumeration DateMarch 20, 2007
Last NPPES UpdateJuly 12, 2018
✔ NPI 1356466007 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities
Taxonomy Code261QR0405X
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X
Also ListedClinic/Center · Mental Health (Including Community Mental Health Center)Taxonomy 261QM0801X
111 W. WASHINGTON STREET, East Peoria, IL 61611
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Other Names 1

Other NameTmhc East Peoria Sa

Other Identifiers 1

Medicaid=========002IL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

TAZWOOD MENTAL HEALTH CENTER, INC.
Clinic/Center (Mental Health (Including Community Mental Health Center))
111 W. WASHINGTON STREET, SUITE 230
EAST PEORIA, IL 61611
Tazewell County (309) 694-6462

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 Tazwood Mental Health Center, Inc.'s NPI number?

The NPI number for Tazwood Mental Health Center, Inc. is 1356466007. It was assigned to this organization in the NPPES registry on March 20, 2007. The provider is also known as Tmhc East Peoria Sa.

Where is Tazwood Mental Health Center, Inc. located?

Tazwood Mental Health Center, Inc. is located at 111 W. Washington Street Suite 230, East Peoria, IL 61611. The listed phone number is (309) 694-6462.

What is Tazwood Mental Health Center, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

When was this NPI record last updated?

The NPPES record for Tazwood Mental Health Center, Inc. was last updated on July 12, 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.