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Contact Information

GLEN MANOR COUNSELING
914 GLEN AVE
SUITE #3
PEORIA, IL61614
 Phone: 309-693-2749
 Fax: 309-693-3894
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for GLEN MANOR COUNSELING

NPI # 1972604411
LBN Legal business name GLEN MANOR COUNSELING
Authorized official JULIE RAY - (PRESIDENT OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 09/26/2006
Last updated 06/19/2008 - About 18 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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