| Promise Healthcare | |
|
819 Bloomington Rd Champaign IL 61820-2101 | |
| (217) 356-1558 | |
| Not Available |
| Full Name | Promise Healthcare |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 819 Bloomington Rd, Champaign, Illinois |
| Authorized Official Name and Position | James Hamilton (DIRECTOR OF BEHAVIORAL HEALTH) |
| Authorized Official Contact | 2173561558 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Promise Healthcare 819 Bloomington Rd Champaign IL 61820-2101 Ph: (217) 356-1558 | Promise Healthcare 819 Bloomington Rd Champaign IL 61820-2101 Ph: (217) 356-1558 |
| NPI Number | 1093571663 |
|---|---|
| Provider Enumeration Date | 02/22/2024 |
| Last Update Date | 02/22/2024 |
| Certification Date | 02/22/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093571663 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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