Ewing Blue Counseling Pllc

NPI #1245996198 in Swansea, Illinois

Provider Information

NPI Number: 1245996198
Entity Type: Organization
Organization Name: Ewing Blue Counseling Pllc
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Nov 15, 2021
Last Updated: Nov 15, 2021

Practice Location

Address: 4509 N ILLINOIS ST STE 5
City: Swansea
State: Illinois
ZIP Code: 62226-1524
Phone: (618) 702-9147

Authorized Official

Name: FELICIA K EWING, LCPC
Title: OWNER
Phone: (605) 431-0878

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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