MELISSA SHANE COUNSELING SERVICES LLC
NPI 1083125298
Community/Behavioral Health in Peoria, IL
- Organization
- Community/Behavioral Health
About MELISSA SHANE COUNSELING SERVICES LLC
This page provides the complete NPI Profile along with additional information for Melissa Shane Counseling Services Llc, a provider established in Peoria, Illinois operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1083125298 assigned on October 2017. The practitioner's primary taxonomy code is 251S00000X with license number 180008837 (IL). The provider is registered as an organization and their NPI record was last updated 9 years ago. The authorized official of this NPI record is Melissa Ann Shane Lcpc (Owner)
- NPI
- 1083125298 Verify this NPI
- Provider Name
- MELISSA SHANE COUNSELING SERVICES LLC
- Entity Type
- Organization
- Location Address
- 6919 N KNOXVILLE AVE STE 100 PEORIA, IL 61614
- Location Phone
- (309) 369-3498
- Location Fax
- (309) 966-0266
- Mailing Address
- 6919 N KNOXVILLE AVE STE 100 PEORIA, IL 61614
- Mailing Phone
- (309) 369-3498
- Mailing Fax
- (309) 966-0266
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-14-2017
- Last Update Date
- 10-14-2017
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Community/Behavioral Health
- Taxonomy Code
- 251S00000X
- Type
- Agencies
- License No.
- 180008837
- License State
- IL
- Taxonomy Description
- A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
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Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1083125298, enumerated as an "organization" on October 14, 2017.
The provider is located at 6919 N KNOXVILLE AVE STE 100 PEORIA, IL 61614 and the phone number is (309) 369-3498.
Community/Behavioral Health with taxonomy code 251S00000X.
