| The Village Family Wellness | |
|
2659 County Road 350 E Mahomet IL 61853-9797 | |
| (217) 372-4157 | |
| Not Available |
| Full Name | The Village Family Wellness |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 2659 County Road 350 E, Mahomet, Illinois |
| Authorized Official Name and Position | Rebecca Ann Richards (OWNER) |
| Authorized Official Contact | 2173724157 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Village Family Wellness 907 W Marketview Dr. Suite 10 Box 314 Champaign IL 61822 Ph: (217) 372-4157 | The Village Family Wellness 2659 County Road 350 E Mahomet IL 61853-9797 Ph: (217) 372-4157 |
| NPI Number | 1013587815 |
|---|---|
| Provider Enumeration Date | 06/25/2021 |
| Last Update Date | 06/25/2021 |
| Certification Date | 06/25/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013587815 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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