Provider Demographics
NPI:1285346114
Name:LINCOLN LAND COMMUNITY PARTNERS
Entity type:Organization
Organization Name:LINCOLN LAND COMMUNITY PARTNERS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:KENDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:BARLOW-JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:217-953-5076
Mailing Address - Street 1:400 E MADISON ST APT 126
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:62701-1068
Mailing Address - Country:US
Mailing Address - Phone:217-720-2943
Mailing Address - Fax:
Practice Address - Street 1:400 E MADISON ST APT 126
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:IL
Practice Address - Zip Code:62701-1068
Practice Address - Country:US
Practice Address - Phone:217-720-2943
Practice Address - Fax:217-775-0902
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-22
Last Update Date:2023-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
No251B00000XAgenciesCase Management