Provider Demographics
NPI:1700294329
Name:ASPIRE COUNSELING & ASSESSMENT
Entity Type:Organization
Organization Name:ASPIRE COUNSELING & ASSESSMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:JORDONNA
Authorized Official - Middle Name:M
Authorized Official - Last Name:HALL
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC
Authorized Official - Phone:217-621-5583
Mailing Address - Street 1:7 DUNLAP CT
Mailing Address - Street 2:SUITE 6
Mailing Address - City:SAVOY
Mailing Address - State:IL
Mailing Address - Zip Code:61874-8724
Mailing Address - Country:US
Mailing Address - Phone:217-621-5583
Mailing Address - Fax:
Practice Address - Street 1:7 DUNLAP CT
Practice Address - Street 2:SUITE 6
Practice Address - City:SAVOY
Practice Address - State:IL
Practice Address - Zip Code:61874-8724
Practice Address - Country:US
Practice Address - Phone:217-621-5583
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-28
Last Update Date:2014-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180.008352251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health