Swanson Therapuetic Services LLC
Community/Behavioral Health in Peoria, IL. Organization (NPI-2).
NPI number1962020354
StatusActive
Last updated in NPPESJul 11, 2020
Details
- NPI
- 1962020354
- Entity type
- Organization (NPI-2)
- Legal business name
- Swanson Therapuetic Services LLC
- Organization subpart
- No
- Enumeration date
- Jul 11, 2020
- Certification date
- Jul 11, 2020
- Last updated
- Jul 11, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | – | – | Yes |
Practice location
5016 N University StPeoria, IL 61614-4781
Phone 309-208-2329
Mailing address
5016 N University St Ste 101Peoria, IL 61614-4763
Phone 309-208-2329
Authorized official
Leah Christine Swanson
Therapist
3092082329
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