| Neurotherapy Institute, Pllc | |
|
8420 N Knoxville Ave Suite C Pmb 1043 Peoria IL 61615 | |
| (309) 202-4417 | |
| Not Available |
| Full Name | Neurotherapy Institute, Pllc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 8420 N Knoxville Ave, Peoria, Illinois |
| Authorized Official Name and Position | Shane G. Young (LICENSED CLINICAL PROFESSIONAL COUN) |
| Authorized Official Contact | 3092024177 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Neurotherapy Institute, Pllc 8420 N Knoxville Ave Suite C Pmb 1043 Peoria IL 61615 Ph: (309) 202-4417 | Neurotherapy Institute, Pllc 8420 N Knoxville Ave Suite C Pmb 1043 Peoria IL 61615 Ph: (309) 202-4417 |
| NPI Number | 1497556286 |
|---|---|
| Provider Enumeration Date | 03/19/2025 |
| Last Update Date | 03/19/2025 |
| Certification Date | 03/19/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497556286 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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