Provider Demographics
NPI:1205514106
Name:SEASONS COUNSELING
Entity type:Organization
Organization Name:SEASONS COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ERICA
Authorized Official - Middle Name:
Authorized Official - Last Name:AINA
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:217-521-6676
Mailing Address - Street 1:206 N RANDOLPH ST STE 412
Mailing Address - Street 2:
Mailing Address - City:CHAMPAIGN
Mailing Address - State:IL
Mailing Address - Zip Code:61820-3978
Mailing Address - Country:US
Mailing Address - Phone:217-303-5780
Mailing Address - Fax:
Practice Address - Street 1:206 N RANDOLPH ST STE 412
Practice Address - Street 2:
Practice Address - City:CHAMPAIGN
Practice Address - State:IL
Practice Address - Zip Code:61820-3978
Practice Address - Country:US
Practice Address - Phone:217-303-5780
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-10
Last Update Date:2023-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty