| Brandy Elmore Lcsw Counseling Services Pllc | |
|
2103 E Washington St Ste 2f Bloomington IL 61701-4365 | |
| (309) 201-5201 | |
| Not Available |
| Full Name | Brandy Elmore Lcsw Counseling Services Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 2103 E Washington St Ste 2f, Bloomington, Illinois |
| Authorized Official Name and Position | Brandy Elizabeth Elmore (THERAPIST) |
| Authorized Official Contact | 3092015201 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brandy Elmore Lcsw Counseling Services Pllc 2810 Morningside Dr Bloomington IL 61704-6234 Ph: (217) 377-0546 | Brandy Elmore Lcsw Counseling Services Pllc 2103 E Washington St Ste 2f Bloomington IL 61701-4365 Ph: (309) 201-5201 |
| NPI Number | 1104693910 |
|---|---|
| Provider Enumeration Date | 12/11/2023 |
| Last Update Date | 12/11/2023 |
| Certification Date | 12/11/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104693910 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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