| Blooming Hope Counseling Pllc | |
|
807 W Highway 50 Ste 3 O Fallon IL 62269-1856 | |
| (618) 836-8142 | |
| Not Available |
| Full Name | Blooming Hope Counseling Pllc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 807 W Highway 50 Ste 3, O Fallon, Illinois |
| Authorized Official Name and Position | Ashlyn Staves (OWNER/THERAPIST) |
| Authorized Official Contact | 6185931023 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blooming Hope Counseling Pllc 807 W Highway 50 Ste 3 O Fallon IL 62269-1856 Ph: (618) 836-8142 | Blooming Hope Counseling Pllc 807 W Highway 50 Ste 3 O Fallon IL 62269-1856 Ph: (618) 836-8142 |
| NPI Number | 1477386605 |
|---|---|
| Provider Enumeration Date | 08/22/2024 |
| Last Update Date | 08/22/2024 |
| Certification Date | 08/22/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477386605 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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