Provider Demographics
NPI:1518503713
Name:SPEAK2ME2 COUNSELING LLC
Entity Type:Organization
Organization Name:SPEAK2ME2 COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MILDRED
Authorized Official - Middle Name:
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:217-597-2276
Mailing Address - Street 1:6 VINSON ST
Mailing Address - Street 2:
Mailing Address - City:DANVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:61832-2741
Mailing Address - Country:US
Mailing Address - Phone:217-597-2276
Mailing Address - Fax:217-516-9613
Practice Address - Street 1:917 N WALNUT ST STE 201
Practice Address - Street 2:
Practice Address - City:DANVILLE
Practice Address - State:IL
Practice Address - Zip Code:61832-3911
Practice Address - Country:US
Practice Address - Phone:217-597-2276
Practice Address - Fax:217-516-8613
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-22
Last Update Date:2019-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty