Blue Skies Counseling LLC
Clinic/Center, Mental Health (Including Community Mental Health Center) in Normal, IL. Organization (NPI-2).
NPI number1982175212
StatusActive
Last updated in NPPESDec 5, 2025
Details
- NPI
- 1982175212
- Entity type
- Organization (NPI-2)
- Legal business name
- Blue Skies Counseling LLC
- Organization subpart
- No
- Enumeration date
- Dec 16, 2018
- Certification date
- Dec 5, 2025
- Last updated
- Dec 5, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | Yes |
| 101YP2500X | Counselor, Professional | – | – |
Practice location
1100 Beech St Ste 3Normal, IL 61761-1493
Phone 309-585-5359
Mailing address
500 Maitland DrCarlock, IL 61725-9514
Phone 309-585-5359
Authorized official
Rebecca Tomara Lynn
Owner
3099921881
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