| Ephphatha Consulting Services, Inc. | |
|
2424 40th Ave Suite 5 Moline IL 61265-7215 | |
| (309) 558-9050 | |
| Not Available |
| Full Name | Ephphatha Consulting Services, Inc. |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 2424 40th Ave, Moline, Illinois |
| Authorized Official Name and Position | Benton K Johnson (PRESIDENT) |
| Authorized Official Contact | 3095589050 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ephphatha Consulting Services, Inc. 2424 40th Ave Suite 5 Moline IL 61265-7215 Ph: (309) 558-9050 | Ephphatha Consulting Services, Inc. 2424 40th Ave Suite 5 Moline IL 61265-7215 Ph: (309) 558-9050 |
| NPI Number | 1184938730 |
|---|---|
| Provider Enumeration Date | 08/05/2010 |
| Last Update Date | 11/30/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184938730 | NPI | - | NPPES |
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