| Bess Practice Llc | |
|
712 E War Memorial Dr Ste D Peoria Heights IL 61616-7548 | |
| (309) 696-5071 | |
| (309) 403-0346 |
| Full Name | Bess Practice Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 712 E War Memorial Dr Ste D, Peoria Heights, Illinois |
| Authorized Official Name and Position | Denise Annette Bow (OWNER) |
| Authorized Official Contact | 3096965071 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bess Practice Llc 712 E War Memorial Dr Ste D Peoria Heights IL 61616-7548 Ph: (309) 696-5071 | Bess Practice Llc 712 E War Memorial Dr Ste D Peoria Heights IL 61616-7548 Ph: (309) 696-5071 |
| NPI Number | 1194201335 |
|---|---|
| Provider Enumeration Date | 07/11/2018 |
| Last Update Date | 03/26/2024 |
| Certification Date | 03/26/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194201335 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 180.010040 (Illinois) | Primary |
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