| Lasting Serenity Counseling Services Llc | |
|
24363 Spring Creek Rd Ste H Washington IL 61571-9654 | |
| (815) 310-0722 | |
| (309) 276-0308 |
| Full Name | Lasting Serenity Counseling Services Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 24363 Spring Creek Rd Ste H, Washington, Illinois |
| Authorized Official Name and Position | Nichole Lee Bosserman (OWNER) |
| Authorized Official Contact | 8153100722 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lasting Serenity Counseling Services Llc 24363 Spring Creek Rd Ste H Washington IL 61571-9654 Ph: (815) 310-0722 | Lasting Serenity Counseling Services Llc 24363 Spring Creek Rd Ste H Washington IL 61571-9654 Ph: (815) 310-0722 |
| NPI Number | 1770052110 |
|---|---|
| Provider Enumeration Date | 11/14/2018 |
| Last Update Date | 11/14/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770052110 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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