Autonomy Alliance Counseling LLC
Organization Active NPI Professional Counselor · Washington, IL
NPI 1164036042 · NPPES record last updated Sep 8, 2020
Key facts
- NPI
- 1164036042
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Professional Counselor 101YP2500X
- Legal business name
- AUTONOMY ALLIANCE COUNSELING LLC
- Practice address
- 100 Alamo Dr
Washington, IL 61571-2901 - Phone
- (309) 316-6440
- NPI assigned
- Sep 8, 2020
- Organization subpart
- No
Authorized official
- Name
- Mary Hosbrough, LCPC
- Title
- Owner
- Phone
- (309) 316-6440
Practitioners 1
-
Mary Hosbrough, LCPC
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor |
101YP2500X | Yes |
Addresses
Primary practice location
100 Alamo Dr
Washington, IL 61571-2901
Mailing address
100 Alamo Dr
Washington, IL 61571-2901
Phone (309) 316-6440
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 8, 2020. 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.