| Living Consciously Mental Health Llc | |
|
221 N Randolph St Macomb IL 61455-2217 | |
| (309) 333-5578 | |
| Not Available |
| Full Name | Living Consciously Mental Health Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 221 N Randolph St, Macomb, Illinois |
| Authorized Official Name and Position | Amy Buwick (SOLE MEMBER) |
| Authorized Official Contact | 3093335578 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Living Consciously Mental Health Llc 221 N Randolph St Macomb IL 61455-2217 Ph: () - | Living Consciously Mental Health Llc 221 N Randolph St Macomb IL 61455-2217 Ph: (309) 333-5578 |
| NPI Number | 1336979400 |
|---|---|
| Provider Enumeration Date | 08/05/2024 |
| Last Update Date | 08/05/2024 |
| Certification Date | 08/05/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336979400 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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