Individual provider · NPI-1

Whitney Meade, THERAPIST

Case Manager/Care Coordinator · Springfield, IL

NPI number1134845019
StatusActive
Last updated in NPPESOct 13, 2022

Details

NPI
1134845019
Entity type
Individual (NPI-1)
Name
Whitney Meade
Credential
THERAPIST
Sex
Female
Sole proprietor
Yes
Enumeration date
Oct 13, 2022
Certification date
Oct 13, 2022
Last updated
Oct 13, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171M00000X Case Manager/Care Coordinator––Yes
171M00000X Case Manager/Care Coordinator–IL

Practice location

711 N 17th St
Springfield, IL 62702-5723

Phone 217-622-7725

Mailing address

711 N 17th St
Springfield, IL 62702-5723

Phone 217-622-7725

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