| Organization Name: | CALMWATERS COUNSELING & RESOURCE CENTER, INC |
| NPI Number: | 1134505829 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KRISTI LEMLEY (PRESIDENT/CEO) |
| Mailing Address: | 4836 N Alby Rd Godfrey |
| State: | IL US |
| Postal Code: | 620351951 |
| Phone Number: | 6183341806 |
| Fax Number: | 6185512676 |
| NPI Enumeration Date: | 08/04/2015 |
| NPI Last Update Date: | 09/14/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 149.009020 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |