Fully Alive Counseling PLLC
Counselor, Professional in Olney, IL. Organization (NPI-2).
NPI number1245043678
StatusActive
Last updated in NPPESFeb 12, 2025
Details
- NPI
- 1245043678
- Entity type
- Organization (NPI-2)
- Legal business name
- Fully Alive Counseling PLLC
- Organization subpart
- No
- Enumeration date
- Jan 29, 2025
- Certification date
- Feb 5, 2025
- Last updated
- Feb 12, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | – | – | Yes |
Practice location
801 S West St Ste 107Olney, IL 62450-1334
Phone 618-816-1126
Mailing address
801 S West St Ste 107Olney, IL 62450-1334
Phone 513-356-6129
Authorized official
Linda Steinbach
Office Manager
5133566129
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