| Leviathan Sales & Marketing Llc | |
|
2309 W White Oaks Dr Ste B Springfield IL 62704-7422 | |
| (479) 530-2807 | |
| (844) 222-4561 |
| Full Name | Leviathan Sales & Marketing Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 2309 W White Oaks Dr Ste B, Springfield, Illinois |
| Authorized Official Name and Position | Aaron Forrest Thomas (OWNER) |
| Authorized Official Contact | 4795024557 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Leviathan Sales & Marketing Llc 3215 Falcon Pt Springfield IL 62711-7868 Ph: (479) 502-4557 | Leviathan Sales & Marketing Llc 2309 W White Oaks Dr Ste B Springfield IL 62704-7422 Ph: (479) 530-2807 |
| NPI Number | 1609769140 |
|---|---|
| Provider Enumeration Date | 06/02/2025 |
| Last Update Date | 06/02/2025 |
| Certification Date | 06/02/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609769140 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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