| Starrynite Counseling, Llc | |
|
8 Eagle Ctr Ste 4 O Fallon IL 62269-1963 | |
| (618) 206-6006 | |
| (618) 206-6006 |
| Full Name | Starrynite Counseling, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 8 Eagle Ctr Ste 4, O Fallon, Illinois |
| Authorized Official Name and Position | Lori Ann Mcallister (FAMILY COUNSELOR) |
| Authorized Official Contact | 6182066006 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Starrynite Counseling, Llc 8 Eagle Ctr Ste 4 O Fallon IL 62269-1963 Ph: (618) 206-6006 | Starrynite Counseling, Llc 8 Eagle Ctr Ste 4 O Fallon IL 62269-1963 Ph: (618) 206-6006 |
| NPI Number | 1356716054 |
|---|---|
| Provider Enumeration Date | 12/07/2015 |
| Last Update Date | 01/19/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356716054 | NPI | - | NPPES |
| 180.007777 | Other | IL | LCPC LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 180.007777 (Illinois) | Primary |
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