| Twin Image Counseling Service Pllc | |
|
524 W Stephenson St Ste 205 Freeport IL 61032-5057 | |
| (815) 990-1103 | |
| (815) 990-1103 |
| Full Name | Twin Image Counseling Service Pllc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 524 W Stephenson St Ste 205, Freeport, Illinois |
| Authorized Official Name and Position | Lamont Hail (OWNER) |
| Authorized Official Contact | 8159901103 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Twin Image Counseling Service Pllc 414 1/2 N Van Buren Ave Freeport IL 61032-3233 Ph: (815) 990-1103 | Twin Image Counseling Service Pllc 524 W Stephenson St Ste 205 Freeport IL 61032-5057 Ph: (815) 990-1103 |
| NPI Number | 1508681552 |
|---|---|
| Provider Enumeration Date | 11/15/2024 |
| Last Update Date | 03/24/2025 |
| Certification Date | 03/24/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508681552 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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