| Provisionii Behaviorial Health Llc | |
|
820 Sw Adams St Peoria IL 61602-1623 | |
| (309) 223-4171 | |
| (309) 223-4125 |
| Full Name | Provisionii Behaviorial Health Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 820 Sw Adams St, Peoria, Illinois |
| Authorized Official Name and Position | Brandon M Russell (FOUNDER & CEO) |
| Authorized Official Contact | 3092234171 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Provisionii Behaviorial Health Llc 820 Sw Adams St Peoria IL 61602-1623 Ph: (309) 223-4171 | Provisionii Behaviorial Health Llc 820 Sw Adams St Peoria IL 61602-1623 Ph: (309) 223-4171 |
| NPI Number | 1306710850 |
|---|---|
| Provider Enumeration Date | 09/29/2025 |
| Last Update Date | 09/29/2025 |
| Certification Date | 09/29/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306710850 | NPI | - | NPPES |
Human Service Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1005 Ne Jefferson Ave, Peoria, IL 61603 Phone: 309-671-8005 | |
Pschertz Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5016 N University St Ste 101, Peoria, IL 61614 Phone: 309-373-0153 | |
Melissa Millinger Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1013 W Cordell Ave, Peoria, IL 61614 Phone: 309-264-8783 | |
Melissa Shane Counseling Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6919 N Knoxville Ave Ste 100, Peoria, IL 61614 Phone: 309-369-3498 Fax: 309-966-0266 | |
Easter Seals - Ucp Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 507 E Armstrong Ave, Peoria, IL 61603 Phone: 309-686-1177 Fax: 309-686-7722 | |
Human Service Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2101 W Willow Knolls Dr, Peoria, IL 61614 Phone: 309-671-8000 | |
Miriam Geiger Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3112 N North St, Peoria, IL 61604 Phone: 510-684-9063 |