| Girls Light Our Way | |
|
201 Sw Adams St Peoria IL 61602-1407 | |
| (917) 770-6058 | |
| Not Available |
| Full Name | Girls Light Our Way |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 201 Sw Adams St, Peoria, Illinois |
| Authorized Official Name and Position | Dawn L Harris Jeffries Ph.d (PRESIDENT & CEO) |
| Authorized Official Contact | 9177706058 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Girls Light Our Way 1325 W Holly Hedges Dr Peoria IL 61614-4172 Ph: (917) 770-6058 | Girls Light Our Way 201 Sw Adams St Peoria IL 61602-1407 Ph: (917) 770-6058 |
| NPI Number | 1316805062 |
|---|---|
| Provider Enumeration Date | 01/12/2026 |
| Last Update Date | 02/12/2026 |
| Certification Date | 02/12/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316805062 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Secondary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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