Mental Wellness Center INC
NPI #1629596812 in Bloomington, Illinois
Provider Information
- NPI Number
- 1629596812
- Entity Type
- Organization
- Organization Name
- Mental Wellness Center INC
- Primary Specialty
- Counselor - Professional
- Enumeration Date
- Sep 7, 2017
- Last Updated
- Aug 27, 2021
Practice Location
- Address
- 205 N WILLIAMSBURG DR STE A
- City
- Bloomington
- State
- Illinois
- ZIP Code
- 61704-7721
- Phone
- (309) 807-5077
Authorized Official
- Name
- JENNIFER RAE BOVEE, LCSW
- Title
- GROUP PRACTICE OWNER
- Phone
- (309) 807-5077
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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