| Vine Counseling Company | |
|
909 Maine St Quincy IL 62301-4036 | |
| (217) 336-7792 | |
| Not Available |
| Full Name | Vine Counseling Company |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 909 Maine St, Quincy, Illinois |
| Authorized Official Name and Position | Jessica Ellefritz (COUNSELING DIRECTOR) |
| Authorized Official Contact | 2177732728 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vine Counseling Company 909 Maine St Quincy IL 62301-4036 Ph: (217) 336-7792 | Vine Counseling Company 909 Maine St Quincy IL 62301-4036 Ph: (217) 336-7792 |
| NPI Number | 1598653115 |
|---|---|
| Provider Enumeration Date | 06/24/2025 |
| Last Update Date | 06/24/2025 |
| Certification Date | 06/24/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598653115 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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