| Sinclair Counseling & Therapy Services, Llc | |
|
5016 N University St Ste 101 Peoria IL 61614-4763 | |
| (309) 863-5590 | |
| (309) 453-6276 |
| Full Name | Sinclair Counseling & Therapy Services, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 5016 N University St Ste 101, Peoria, Illinois |
| Authorized Official Name and Position | Angela Kristi Sinclair Hawley (MANAGING MEMBER) |
| Authorized Official Contact | 3098635590 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sinclair Counseling & Therapy Services, Llc 119 Stonecrop Rd Morton IL 61550-3155 Ph: (309) 863-5590 | Sinclair Counseling & Therapy Services, Llc 5016 N University St Ste 101 Peoria IL 61614-4763 Ph: (309) 863-5590 |
| NPI Number | 1386395952 |
|---|---|
| Provider Enumeration Date | 01/14/2022 |
| Last Update Date | 01/14/2022 |
| Certification Date | 01/14/2022 |
| Medicare PECOS PAC ID | 3870986292 |
|---|---|
| Medicare Enrollment ID | O20220208001211 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386395952 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Angela Kristi Sinclair Hawley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306136189 PECOS PAC ID: 4789077108 Enrollment ID: I20220208001293 |
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