Provider Demographics
NPI:1336815729
Name:ALL SEASONS COUNSELING GROUP
Entity Type:Organization
Organization Name:ALL SEASONS COUNSELING GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LAURELYN
Authorized Official - Middle Name:
Authorized Official - Last Name:CROPEK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:217-781-1706
Mailing Address - Street 1:1925 MORAINE DR
Mailing Address - Street 2:
Mailing Address - City:CHAMPAIGN
Mailing Address - State:IL
Mailing Address - Zip Code:61822-5258
Mailing Address - Country:US
Mailing Address - Phone:217-781-1706
Mailing Address - Fax:
Practice Address - Street 1:1925 MORAINE DR
Practice Address - Street 2:
Practice Address - City:CHAMPAIGN
Practice Address - State:IL
Practice Address - Zip Code:61822-5258
Practice Address - Country:US
Practice Address - Phone:217-781-1706
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-17
Last Update Date:2021-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL149.005667OtherSTATE LICENSE