NEUROTHERAPY INSTITUTE PLLC NPI 1497556286

NPI Information

  • NPI: 1497556286
  • Provider Name: NEUROTHERAPY INSTITUTE, PLLC
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Organization
  • Address: 8420 N KNOXVILLE AVE
    SUITE C PMB 1043
    PEORIA, IL
    ZIP 61615
  • Phone: (309) 202-4417

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NPI Details

NEUROTHERAPY INSTITUTE, PLLC is a professional counselor in Peoria, IL. NEUROTHERAPY INSTITUTE, PLLC NPI is 1497556286. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

8420 N KNOXVILLE AVE
SUITE C PMB 1043
PEORIA, IL
ZIP 61615
Phone: (309) 202-4417

The provider's authorized official is Shane G. Young .
The authorized official title is Licensed Clinical Professional Coun and has the following contact phone number (309) 202-4177.

The enumeration date for this NPI number is 3/19/2025 and was last updated on 3/19/2025.

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
1101YP2500XCounselorProfessionalYes

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: 11/21/2025

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