| Esperanza And Healing Counseling Pllc | |
|
7 Eagle Ctr O Fallon IL 62269-1946 | |
| (757) 955-0259 | |
| Not Available |
| Full Name | Esperanza And Healing Counseling Pllc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 7 Eagle Ctr, O Fallon, Illinois |
| Authorized Official Name and Position | Darionne Smith (OWNER) |
| Authorized Official Contact | 7579550259 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Esperanza And Healing Counseling Pllc 8441 Treybrooke Pl O Fallon IL 62269-4132 Ph: (757) 955-0259 | Esperanza And Healing Counseling Pllc 7 Eagle Ctr O Fallon IL 62269-1946 Ph: (757) 955-0259 |
| NPI Number | 1356193866 |
|---|---|
| Provider Enumeration Date | 04/05/2024 |
| Last Update Date | 04/08/2024 |
| Certification Date | 04/08/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356193866 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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