Meredith Messina Lcpc PLLC
Community/Behavioral Health in Peoria, IL. Organization (NPI-2).
NPI number1104536366
StatusActive
Last updated in NPPESNov 29, 2022
Details
- NPI
- 1104536366
- Entity type
- Organization (NPI-2)
- Legal business name
- Meredith Messina Lcpc PLLC
- Organization subpart
- No
- Enumeration date
- Nov 29, 2022
- Certification date
- Nov 29, 2022
- Last updated
- Nov 29, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | – | – | Yes |
Practice location
4507 N Sterling Ave Ste 300aPeoria, IL 61615-3824
Phone 309-323-0032
Mailing address
4507 N Sterling Ave Ste 300aPeoria, IL 61615-3824
Phone 309-323-0032
Authorized official
Meredith Messina
Owner/Therapist
3093230032
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