CHILD AND FAMILY COUNSELING OF CHAMPAIGN LLC NPI 1053814848

NPI Information

NPI: 1053814848
Provider Name: CHILD AND FAMILY COUNSELING OF CHAMPAIGN LLC
Classification: Counselor - 101YP2500X
Entity Type: Organization

Specialization: Professional

Address:
313 N MATTIS AVE STE 116
CHAMPAIGN, IL
ZIP 61821
Phone: (224) 232-8057
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CHILD AND FAMILY COUNSELING OF CHAMPAIGN LLC is a professional counselor in Champaign, IL. CHILD AND FAMILY COUNSELING OF CHAMPAIGN LLC NPI is 1053814848. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

313 N MATTIS AVE STE 116
CHAMPAIGN, IL
ZIP 61821-900
Phone: (224) 232-8057
Fax: (217) 888-2744

The provider's authorized official is Marilee Johnson .
The authorized official title is Owner and has the following contact phone number (242) 232-8057.

The enumeration date for this NPI number is 3/17/2018 and was last updated on 12/13/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional	180.010891	ILLINOIS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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