| The Haven Counseling Services Pllc | |
|
408 E College Ave Normal IL 61761-3078 | |
| (309) 431-2139 | |
| Not Available |
| Full Name | The Haven Counseling Services Pllc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 408 E College Ave, Normal, Illinois |
| Authorized Official Name and Position | Victoria Shirkey (OWNER) |
| Authorized Official Contact | 6183059073 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Haven Counseling Services Pllc 408 E College Ave Normal IL 61761-3078 Ph: (309) 431-2139 | The Haven Counseling Services Pllc 408 E College Ave Normal IL 61761-3078 Ph: (309) 431-2139 |
| NPI Number | 1669287330 |
|---|---|
| Provider Enumeration Date | 02/10/2025 |
| Last Update Date | 05/06/2025 |
| Certification Date | 05/06/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669287330 | NPI | - | NPPES |
| 1427541432 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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