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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

1402 COCKRELL LLC

Active Organization

1402 COCKRELL LLC is a Mental Health Clinic organization located in SPRINGFIELD, Illinois. NPI 1184590747 is currently active in the NPPES registry. Verify at CMS.

Mental Health Clinic · SPRINGFIELD, IL

Registration Details

NPI Number
1184590747
Provider Type
Organization
NPI Issued
Oct 13, 2025 (0.79308703238657 yrs)
Last Updated
Oct 13, 2025

Practice Information

Address
4012 COCKRELL LN
SPRINGFIELD, IL, 627118327
Browse IL providers · Browse ZIP 62711
Phone
8473243543
Primary Specialty
Mental Health Clinic
261QM0801X
Additional Specialty
Community/Behavioral Health
Additional Specialty
Mental Health Clinic
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.