| Earth Water Air Counseling, Llc | |
|
1161 Fortune Blvd Ste 200 Shiloh IL 62269-7385 | |
| (618) 777-6670 | |
| (877) 811-5628 |
| Full Name | Earth Water Air Counseling, Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 1161 Fortune Blvd Ste 200, Shiloh, Illinois |
| Authorized Official Name and Position | Scarlett Maria Meyer (OWNER/COUNSELOR) |
| Authorized Official Contact | 2172427451 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Earth Water Air Counseling, Llc 1161 Fortune Blvd Ste 200 Shiloh IL 62269-7385 Ph: (618) 777-6670 | Earth Water Air Counseling, Llc 1161 Fortune Blvd Ste 200 Shiloh IL 62269-7385 Ph: (618) 777-6670 |
| NPI Number | 1194336784 |
|---|---|
| Provider Enumeration Date | 08/16/2020 |
| Last Update Date | 08/24/2020 |
| Certification Date | 08/24/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194336784 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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