| Mindoasis | |
|
1506 Savile Ln Washington IL 61571-4611 | |
| (309) 532-8455 | |
| Not Available |
| Full Name | Mindoasis |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1506 Savile Ln, Washington, Illinois |
| Authorized Official Name and Position | Amy Michelle Fischer (LCSW/OWNER) |
| Authorized Official Contact | 3095328455 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mindoasis 1506 Savile Ln Washington IL 61571-4611 Ph: (309) 532-8455 | Mindoasis 1506 Savile Ln Washington IL 61571-4611 Ph: (309) 532-8455 |
| NPI Number | 1457720435 |
|---|---|
| Provider Enumeration Date | 09/18/2015 |
| Last Update Date | 09/18/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457720435 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 149015544 (Illinois) | Secondary |
| 1041C0700X | Social Worker - Clinical | 149015544 (Illinois) | Primary |
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