| Causeway Counseling Pllc | |
|
555 S Perryville Rd Rockford IL 61108-2522 | |
| (815) 315-2364 | |
| Not Available |
| Full Name | Causeway Counseling Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 555 S Perryville Rd, Rockford, Illinois |
| Authorized Official Name and Position | Crystal Lawson (OWNER/MANAGER) |
| Authorized Official Contact | 8153152364 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Causeway Counseling Pllc 6416 Palo Verde Dr Rockford IL 61114-8174 Ph: (815) 315-2364 | Causeway Counseling Pllc 555 S Perryville Rd Rockford IL 61108-2522 Ph: (815) 315-2364 |
| NPI Number | 1205695418 |
|---|---|
| Provider Enumeration Date | 03/18/2024 |
| Last Update Date | 10/09/2024 |
| Certification Date | 10/09/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205695418 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
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