| Life Transformation Counseling, Llc | |
|
2000 W Pioneer Pkwy Suite 7b Peoria IL 61615-1835 | |
| (309) 363-1400 | |
| (309) 409-1662 |
| Full Name | Life Transformation Counseling, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 2000 W Pioneer Pkwy, Peoria, Illinois |
| Authorized Official Name and Position | Queena Louise Howard (CLINICIAN/OWNER) |
| Authorized Official Contact | 3093631400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Life Transformation Counseling, Llc 2000 W Pioneer Pkwy Suite 7b Peoria IL 61615-1835 Ph: (309) 363-1400 | Life Transformation Counseling, Llc 2000 W Pioneer Pkwy Suite 7b Peoria IL 61615-1835 Ph: (309) 363-1400 |
| NPI Number | 1972976652 |
|---|---|
| Provider Enumeration Date | 11/04/2015 |
| Last Update Date | 11/04/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972976652 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 180007518 (Illinois) | Primary |
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