Abc Counseling & Family Services
Organization Active NPI Mental Health Clinic/Center (Including Community Mental Health Center) · East Peoria, IL
NPI 1083128474 · NPPES record last updated Nov 22, 2017
Key facts
- NPI
- 1083128474
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
- License
- 198405 (IL)
- Legal business name
- ABC COUNSELING & FAMILY SERVICES
- Practice address
- 111 W. Washington St.
Suite 410B
East Peoria, IL 61611 - Phone
- (309) 694-1596
- NPI assigned
- Nov 22, 2017
- Organization subpart
- Yes
- Parent organization (as reported)
- ABC COUNSELING AND FAMILY SERVICES
Authorized official
- Name
- Lynn Willard, LCSW, LCPC, LSOE, LS
- Title
- Founder, Former Exec Dir
- Phone
- (309) 451-9495
Corporate family (same tax ID) 10
Practitioners 2
-
Karen Tobias, M.S.W.
-
Lynn Willard, LCPC, LCSW
National Provider Directory
- Tax ID family
- Abc Counseling Family Services
- Part of
- Abc Counseling Family Services
Locations
111 W Washington St
Ste 410B
East Peoria, IL 61611
Phone (309) 689-2990
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | 198405 | IL | Yes |
Addresses
Primary practice location
111 W. Washington St.
Suite 410B
East Peoria, IL 61611
Mailing address
705 E. Lincoln St
Ste 303
Normal, IL 61761
Other providers in East Peoria, IL
- Rebecca M Abbey
- Accelerated Rehabilitation Centers, LTD
- Accelerated Rehabilitation Centers, LTD
- Accolade Healthcare of East Peoria, LLC
- Accolade Healthcare of East Peoria, LLC
- Fred Acker
All providers in East Peoria, IL · Mental Health Clinic/Center (Including Community Mental Health Center) in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 22, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.