| Equine Empowered Counseling Center Llc | |
|
5220 Hattons Rd Hennepin IL 61327-5022 | |
| (815) 343-2636 | |
| Not Available |
| Full Name | Equine Empowered Counseling Center Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 5220 Hattons Rd, Hennepin, Illinois |
| Authorized Official Name and Position | Alisia Nicole Quigley-holmbeck (OWNER/THERAPIST) |
| Authorized Official Contact | 8153432636 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Equine Empowered Counseling Center Llc 9364 E 1175th St Granville IL 61326-9486 Ph: (815) 343-2636 | Equine Empowered Counseling Center Llc 5220 Hattons Rd Hennepin IL 61327-5022 Ph: (815) 343-2636 |
| NPI Number | 1407547755 |
|---|---|
| Provider Enumeration Date | 05/17/2023 |
| Last Update Date | 05/17/2023 |
| Certification Date | 05/17/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407547755 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |