institution
Inner Wellness Of Central Illinois Pllc
Psychiatric/Mental Health Nurse Practitioner in East Peoria, Illinois
NPI 1871164442

Inner Wellness Of Central Illinois Pllc is a Psychiatric/Mental Health Nurse Practitioner based in East Peoria, IL and is specialized in Psychiatric/Mental Health. Inner Wellness Of Central Illinois Pllc practices in East Peoria, IL. The NPI Number for Inner Wellness Of Central Illinois Pllc is 1871164442 and holds a License No. (Illinois).

The current practice location address for Inner Wellness Of Central Illinois Pllc is 2511 N Main St, East Peoria, IL and can be reached out via phone at 309-670-0459 and via fax at 309-670-0416.

Location: 2511 N Main St, East Peoria, IL, 61611
institution
Provider Profile Details
NPI Number
1871164442
Provider Name
Inner Wellness Of Central Illinois Pllc
Credential
Provider Entity Type
Organization
Address
2511 N Main St, East Peoria, IL, 61611
Phone Number
309-670-0459
Fax Number
309-670-0416
Provider Enumeration Date
07/06/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1992233977 01 IL NPI
1205098480 01 IL NPI
1205470168 01 NPI
institution
Provider Business Practice Location Address Details
Address
2511 N Main St
City
State
Zip
61611
Phone Number
309-670-0459
Fax Number
309-670-0416
person
Provider Business Mailing Address Details
Address
2511 N Main St
City
State
Zip
61611
Phone Number
309-670-0459
Fax Number
309-670-0416
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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