| Fully Alive Counseling Pllc | |
|
801 S West St Ste 107 Olney IL 62450-1334 | |
| (618) 816-1126 | |
| Not Available |
| Full Name | Fully Alive Counseling Pllc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 801 S West St Ste 107, Olney, Illinois |
| Authorized Official Name and Position | Linda Steinbach (OFFICE MANAGER) |
| Authorized Official Contact | 5133566129 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fully Alive Counseling Pllc 801 S West St Ste 107 Olney IL 62450-1334 Ph: (513) 356-6129 | Fully Alive Counseling Pllc 801 S West St Ste 107 Olney IL 62450-1334 Ph: (618) 816-1126 |
| NPI Number | 1245043678 |
|---|---|
| Provider Enumeration Date | 01/29/2025 |
| Last Update Date | 02/12/2025 |
| Certification Date | 02/05/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245043678 | NPI | - | NPPES |
| 180.007390 | Other | IL | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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