| Elizabeth Heid Counseling Services Llc | |
|
2103 E Washington St Bldg 1 Bloomington IL 61701-4310 | |
| (309) 205-0024 | |
| Not Available |
| Full Name | Elizabeth Heid Counseling Services Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 2103 E Washington St Bldg 1, Bloomington, Illinois |
| Authorized Official Name and Position | Elizabeth Heid (THERAPIST) |
| Authorized Official Contact | 3092050024 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elizabeth Heid Counseling Services Llc 15 Cameron Ct Bloomington IL 61704-8330 Ph: (309) 212-1004 | Elizabeth Heid Counseling Services Llc 2103 E Washington St Bldg 1 Bloomington IL 61701-4310 Ph: (309) 205-0024 |
| NPI Number | 1972128825 |
|---|---|
| Provider Enumeration Date | 06/16/2020 |
| Last Update Date | 06/16/2020 |
| Certification Date | 06/16/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972128825 | NPI | - | NPPES |
| NPI1 | Other | IL | 1215400791 |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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