AEON SOCIAL EMOTIONAL HEALTH NPI 1528387644

NPI Information

NPI: 1528387644
Provider Name: AEON SOCIAL EMOTIONAL HEALTH
Classification: Counselor - 101YP2500X
Entity Type: Organization

Specialization: Professional

Address:
5016 N UNIVERSITY ST
SUITE 109
PEORIA, IL
ZIP 61614
Phone: (309) 573-4834
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AEON SOCIAL EMOTIONAL HEALTH is a professional counselor in Peoria, IL. AEON SOCIAL EMOTIONAL HEALTH NPI is 1528387644. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5016 N UNIVERSITY ST
SUITE 109
PEORIA, IL
ZIP 61614-781
Phone: (309) 573-4834
Fax: (312) 254-1423

The provider's authorized official is Kevin Mcclure .
The authorized official title is Owner and has the following contact phone number (309) 573-4834.

The enumeration date for this NPI number is 5/28/2010 and was last updated on 5/28/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional	180006803	ILLINOIS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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