| Van Aman Center For Wellness, Pllc | |
|
1224 Towanda Ave Ste 22 Bloomington IL 61701-7414 | |
| (847) 644-3672 | |
| Not Available |
| Full Name | Van Aman Center For Wellness, Pllc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 1224 Towanda Ave Ste 22, Bloomington, Illinois |
| Authorized Official Name and Position | Caroline M Van Aman (COUNSELOR BUSINESS OWNER) |
| Authorized Official Contact | 8476443672 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Van Aman Center For Wellness, Pllc 1413 Moss Creek Rd Bloomington IL 61704-2915 Ph: (847) 644-3672 | Van Aman Center For Wellness, Pllc 1224 Towanda Ave Ste 22 Bloomington IL 61701-7414 Ph: (847) 644-3672 |
| NPI Number | 1205584570 |
|---|---|
| Provider Enumeration Date | 03/15/2022 |
| Last Update Date | 03/15/2022 |
| Certification Date | 03/15/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205584570 | NPI | - | NPPES |
| 1073066155 | Other | IL | NPI TYPE 1 |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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