Mended Hearts Stable

NPI #1922283464 in Metamora, Illinois

Provider Information

NPI Number: 1922283464
Entity Type: Organization
Organization Name: Mended Hearts Stable
Primary Specialty: Clinic/Center - Adolescent and Children Mental Health
Enumeration Date: Jan 3, 2008
Last Updated: Jul 10, 2024

Practice Location

Address: 1431 LOURDES RD
City: Metamora
State: Illinois
ZIP Code: 61548-7609
Phone: (309) 383-4323

Authorized Official

Name: MRS. JULIE ELISE SELLNER, LCPC
Title: EXECUTIVE DIRECTOR
Phone: (309) 383-4323

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community/Behavioral Health	251S00000X
Clinic/Center - Adolescent and Children Mental Health — Adolescent and Children Mental Health	261QM0855X	Primary

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