| Mental Wellness Center Inc | |
|
205 N Williamsburg Dr Ste A Bloomington IL 61704-7721 | |
| (309) 807-5077 | |
| (309) 214-9679 |
| Full Name | Mental Wellness Center Inc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 205 N Williamsburg Dr Ste A, Bloomington, Illinois |
| Authorized Official Name and Position | Jennifer Rae Bovee (GROUP PRACTICE OWNER) |
| Authorized Official Contact | 3098075077 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mental Wellness Center Inc 202 N Prospect Rd Ste 205 Bloomington IL 61704-7920 Ph: (309) 445-0394 | Mental Wellness Center Inc 205 N Williamsburg Dr Ste A Bloomington IL 61704-7721 Ph: (309) 807-5077 |
| NPI Number | 1629596812 |
|---|---|
| Provider Enumeration Date | 09/07/2017 |
| Last Update Date | 08/27/2021 |
| Certification Date | 08/27/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629596812 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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