Your Exhilarating Life Therapy Services Pllc
NPI #1326611047 in Belleville, Illinois
Provider Information
- NPI Number
- 1326611047
- Entity Type
- Organization
- Organization Name
- Your Exhilarating Life Therapy Services Pllc
- Primary Specialty
- Counselor - Professional
- Enumeration Date
- Jul 20, 2021
- Last Updated
- Jul 20, 2021
Practice Location
- Address
- 1650 LEBANON AVE
- City
- Belleville
- State
- Illinois
- ZIP Code
- 62221-2466
- Phone
- (618) 910-8771
Authorized Official
- Name
- CARMEL BROWN, LCPC
- Title
- CLINICAL COUNSELOR/OWNER
- Phone
- (618) 910-8771
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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