| Thriving Sparrow Counseling & Wellness, Pllc | |
|
3601 S Staley Rd Champaign IL 61822-8730 | |
| (815) 529-5933 | |
| Not Available |
| Full Name | Thriving Sparrow Counseling & Wellness, Pllc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 3601 S Staley Rd, Champaign, Illinois |
| Authorized Official Name and Position | Jennifer Ann Rochon (OWNER) |
| Authorized Official Contact | 8155295933 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Thriving Sparrow Counseling & Wellness, Pllc 256 Stonegate Rd Trout Valley IL 60013-2524 Ph: (181) 552-9593 | Thriving Sparrow Counseling & Wellness, Pllc 3601 S Staley Rd Champaign IL 61822-8730 Ph: (815) 529-5933 |
| NPI Number | 1821878885 |
|---|---|
| Provider Enumeration Date | 10/05/2023 |
| Last Update Date | 10/05/2023 |
| Certification Date | 10/05/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821878885 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Secondary |
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