| Building Intention Llc | |
|
2501 Chatham Rd # 4523 Springfield IL 62704-4188 | |
| (217) 426-0430 | |
| Not Available |
| Full Name | Building Intention Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 2501 Chatham Rd # 4523, Springfield, Illinois |
| Authorized Official Name and Position | Lily L Ohl (OWNER) |
| Authorized Official Contact | 2174260430 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Building Intention Llc 2501 Chatham Rd # 4523 Springfield IL 62704-4188 Ph: (217) 426-0430 | Building Intention Llc 2501 Chatham Rd # 4523 Springfield IL 62704-4188 Ph: (217) 426-0430 |
| NPI Number | 1407652639 |
|---|---|
| Provider Enumeration Date | 02/19/2025 |
| Last Update Date | 02/19/2025 |
| Certification Date | 02/19/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407652639 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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