AUTUMN SHREVE
NPI 1467930917
Counselor in Rockford, IL

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101Y00000X.

Active since August 06, 2018

2704 N MAIN ST, ROCKFORD, IL 61103(815) 968-9300 Get Directions Write a Review

NPPES record last updated: August 6, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Autumn Shreve NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AUTUMN SHREVE (NPI 1467930917) is an individual counselor in Rockford, Illinois and active in the NPI registry since August 2018.

NPPES Registry Identity

NPI1467930917

Entity TypeIndividualFemale

Primary Taxonomy101Y00000X

Provider Legal NameAUTUMN SHREVE

Location Address2704 N MAIN STRockford, IL 61103-3112

Mailing Address1021 N Mulford RdRockford, IL 61107-3877

Phone(815) 968-9300

Sole ProprietorNo

Enumeration DateAugust 6, 2018

✔ NPI 1467930917 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

2704 N MAIN ST, Rockford, IL 61103

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