| Sunflower Counseling | |
|
201 Park Pl Ste 11 Bourbonnais IL 60914-1883 | |
| (815) 683-6191 | |
| Not Available |
| Full Name | Sunflower Counseling |
|---|---|
| Speciality | Clinic/Center |
| Location | 201 Park Pl Ste 11, Bourbonnais, Illinois |
| Authorized Official Name and Position | Kristin Bailey (OWNER) |
| Authorized Official Contact | 8156836191 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sunflower Counseling 201 Park Pl Ste 11 Bourbonnais IL 60914-1883 Ph: (815) 683-6191 | Sunflower Counseling 201 Park Pl Ste 11 Bourbonnais IL 60914-1883 Ph: (815) 683-6191 |
| NPI Number | 1578209565 |
|---|---|
| Provider Enumeration Date | 05/11/2022 |
| Last Update Date | 05/11/2022 |
| Certification Date | 05/11/2022 |
| Medicare PECOS PAC ID | 7517323439 |
|---|---|
| Medicare Enrollment ID | O20230519000424 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578209565 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Kristin Elizabeth Bailey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245605062 PECOS PAC ID: 8426414343 Enrollment ID: I20230519000510 |
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