JESSIE SHANKS COUNSELING, INC.
NPI 1013742519
Counselor - Mental Health in Pekin, IL
Active since September 04, 2024
514 BROADWAY ST UNIT 1351, PEKIN, IL 61555(309) 322-2900(309) 322-2901 Get Directions Write a Review
About Jessie Shanks Counseling, Inc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JESSIE SHANKS COUNSELING, INC. (NPI 1013742519) is a healthcare organization registered as a mental health in Pekin, Illinois and active in the NPI registry since September 2024. The organization lists Jessie Shanks, Owner, as its authorized official.
NPPES Registry Identity
NPI1013742519
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameJESSIE SHANKS COUNSELING, INC.
Location Address514 BROADWAY ST UNIT 1351Pekin, IL 61555-2260
Mailing Address1006 Augusta StPekin, IL 61554-3002 · (309) 322-2900 · Fax (309) 322-2901
Phone(309) 322-2900
Fax(309) 322-2901
Organization SubpartNo
Authorized OfficialJessie ShanksOwner · (309) 322-2900
Enumeration DateSeptember 4, 2024
NPPES CertifiedAugust 24, 2024
✔ NPI 1013742519 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
514 BROADWAY ST UNIT 1351, Pekin, IL 61555
Group Practice 1
Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1013742519, enumerated as an "organization" on September 04, 2024.
The provider is located at 514 BROADWAY ST UNIT 1351 PEKIN, IL 61555 and the phone number is (309) 322-2900.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
