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SOUTHERN ILLINOIS THERAPY SERVICES, PLLC
NPI 1891435657
Clinic/Center - Mental Health (Including Community Mental Health Center) in Benton, IL

Active since March 30, 2022
205 BAILEY LN STE 3W, BENTON, IL 62812(618) 218-4544 Get Directions Write a Review

NPPES record last updated: April 18, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 18, 2022, Apr 11, 2022 (2 updates tracked since 2022).

About Southern Illinois Therapy Services, Pllc NPPES

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

SOUTHERN ILLINOIS THERAPY SERVICES, PLLC (NPI 1891435657) is a healthcare organization registered as a mental health (including community mental health center) in Benton, Illinois and active in the NPI registry since March 2022. The organization lists Samantha Ann Kimble, Owner/lcsw, as its authorized official.

NPPES Registry Identity

NPI1891435657
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameSOUTHERN ILLINOIS THERAPY SERVICES, PLLC
Location Address205 BAILEY LN STE 3WBenton, IL 62812-1921
Mailing Address205 Bailey Ln Ste 3wBenton, IL 62812-1921 · (618) 218-4544
Phone(618) 218-4544
Organization SubpartNo
Authorized OfficialSamantha Ann KimbleOwner/lcsw · (618) 218-4544
Enumeration DateMarch 30, 2022
Last NPPES UpdateApril 18, 20222 updates tracked since enumeration
NPPES CertifiedApril 18, 2022
✔ NPI 1891435657 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
205 BAILEY LN STE 3W, Benton, IL 62812
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Other Providers at the Same Location NPPES

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

SAMANTHA ANN KIMBLE LCSW
Social Worker (Clinical)
205 BAILEY LN STE 3W
BENTON, IL 62812
Franklin County (618) 218-4544

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 Southern Illinois Therapy Services, PLLC's NPI number?

The NPI number for Southern Illinois Therapy Services, PLLC is 1891435657. It was assigned to this organization in the NPPES registry on March 30, 2022.

Where is Southern Illinois Therapy Services, PLLC located?

Southern Illinois Therapy Services, PLLC is located at 205 Bailey Ln Ste 3W, Benton, IL 62812. The listed phone number is (618) 218-4544.

What is Southern Illinois Therapy Services, PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

When was this NPI record last updated?

The NPPES record for Southern Illinois Therapy Services, PLLC was last updated on April 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.