1402 COCKRELL LLC

NPI: 1184590747 · Organization · Active

Primary Specialty

Mental Health Clinic/Center (Including Community Mental Health Center)
Clinic/Center — Mental Health (Including Community Mental Health Center)

Practice Location

4012 COCKRELL LN
SPRINGFIELD, IL 62711-8327 Map ↗
Phone: 847-324-3543

All Specialties & Licenses

  • Mental Health Clinic/Center (Including Community Mental Health Center) Primary — Mental Health (Including Community Mental Health Center)
  • Community/Behavioral Health Agency
  • Adult Mental Health Clinic/Center — Adult Mental Health
  • Substance Use Disorder Rehabilitation Clinic/Center — Rehabilitation, Substance Use Disorder

NPI Registration

Enumerated: 2025-10-13

Last CMS Update: 2025-10-13