| Cup Of Tea Counseling, Llc | |
|
101 Gentian Savoy IL 61874-8544 | |
| (217) 369-0819 | |
| Not Available |
| Full Name | Cup Of Tea Counseling, Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 101 Gentian, Savoy, Illinois |
| Authorized Official Name and Position | Colleen Aziz (LCPC) |
| Authorized Official Contact | 2173690819 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cup Of Tea Counseling, Llc 101 Gentian Savoy IL 61874-8544 Ph: (217) 369-0819 | Cup Of Tea Counseling, Llc 101 Gentian Savoy IL 61874-8544 Ph: (217) 369-0819 |
| NPI Number | 1043971385 |
|---|---|
| Provider Enumeration Date | 01/09/2022 |
| Last Update Date | 11/17/2023 |
| Certification Date | 11/17/2023 |
| Medicare PECOS PAC ID | 0042663577 |
|---|---|
| Medicare Enrollment ID | O20240131002129 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043971385 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Colleen Aziz |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1619311776 PECOS PAC ID: 1951754480 Enrollment ID: I20240131002227 |
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