Edge Counseling And Wellness Llc

LBN: Edge Counseling And Wellness Llc
Edge Counseling And Wellness Llc is an health care organization with primary practice located at 719 W Lake Ave , Peoria IL 61614-5941. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Edge Counseling And Wellness Llc can be contacted via phone (309) 360-8912, or through Lemasters, Audrey via phone (309) 360-8912.

Contact Information

Primary practice address
719 W Lake Ave Peoria IL 61614-5941
Phone: (309) 360-8912
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Lemasters, Audrey Licensed Clinical Social Worker (LCSW)
Phone: (309) 360-8912

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1790275485
LBN Legal business name Edge Counseling And Wellness Llc
DBA Doing business as
Authorized official Lemasters, Audrey Licensed Clinical Social Worker (LCSW)
Entity Organization
Organization subpart 1 No
Enumeration date May 17th, 2018
Last updated Nov 7th, 2021 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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