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BETTINA MCCULLOCH MSW
NPI 1477946804
Counselor - Mental Health in Centralia, IL

Active since March 10, 2015
904 EAST MARTIN LUTHER KING DRIVE, CENTRALIA, IL 62801(618) 533-1391 Get Directions Write a Review

NPPES record last updated: March 10, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Bettina Mcculloch Msw NPPES

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

BETTINA MCCULLOCH MSW (NPI 1477946804) is an individual mental health provider in Centralia, Illinois and active in the NPI registry since March 2015.

NPPES Registry Identity

NPI1477946804
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameBETTINA MCCULLOCHCredential: MSW
Location Address904 EAST MARTIN LUTHER KING DRIVECentralia, IL 62801
Mailing Address904 East Martin Luther King DriveCentralia, IL 62801 · (618) 533-1391
Phone(618) 533-1391
Sole ProprietorYes
Enumeration DateMarch 10, 2015
✔ NPI 1477946804 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Also ListedSocial WorkerTaxonomy 104100000X
904 EAST MARTIN LUTHER KING DRIVE, Centralia, IL 62801
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Other Providers at the Same Location NPPES 4

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

COMMUNITY RESOURCE CENTER INC.
Clinic/Center (Rehabilitation, Substance Use Disorder)
904 EAST MARTIN LUTHER KING DRIVE
CENTRALIA, IL 62801
Marion County (618) 533-1391
MEGAN BORLAND
Counselor (Mental Health)
904 EAST MARTIN LUTHER KING DRIVE
CENTRALIA, IL 62801
Marion County (618) 533-1391
COMMUNITY RESOURCE CENTER INC.
Clinic/Center (Mental Health (Including Community Mental Health Center))
904 EAST MARTIN LUTHER KING DRIVE
CENTRALIA, IL 62801
Marion County (618) 533-1391
COMMUNITY RESOURCE CENTER INC
Community/Behavioral Health
904 EAST MARTIN LUTHER KING DRIVE
CENTRALIA, IL 62801
Marion County (618) 533-1391

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 Bettina Mcculloch's NPI number?

The NPI number for Bettina Mcculloch is 1477946804. It was assigned to this individual provider in the NPPES registry on March 10, 2015.

Where is Bettina Mcculloch located?

Bettina Mcculloch practices at 904 East Martin Luther King Drive, Centralia, IL 62801. The listed phone number is (618) 533-1391.

What is Bettina Mcculloch's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Bettina Mcculloch was last updated on March 10, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.