Persimmon Tree Counseling, LLC
NPI #1710610613 in Bloomington, Illinois
Provider Information
- NPI Number
- 1710610613
- Entity Type
- Organization
- Organization Name
- Persimmon Tree Counseling, LLC
- Primary Specialty
- Clinic/Center - Mental Health (Including Community Mental Health Center)
- Enumeration Date
- Jul 7, 2022
- Last Updated
- Jul 12, 2022
Practice Location
- Address
- 207 W JEFFERSON ST STE 401
- City
- Bloomington
- State
- Illinois
- ZIP Code
- 61701-3969
- Phone
- (309) 431-1296
Authorized Official
- Name
- MATTHEW HICKMAN, LCPC
- Title
- MANAGER
- Phone
- (309) 431-1296
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center) |
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