Provider Demographics
NPI:1932894888
Name:PEAKS AND VALLEYS PERINATAL COUNSELING PLLC
Entity Type:Organization
Organization Name:PEAKS AND VALLEYS PERINATAL COUNSELING PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:V
Authorized Official - Last Name:HEM
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:815-997-9022
Mailing Address - Street 1:11 N BATAVIA AVE STE 107
Mailing Address - Street 2:
Mailing Address - City:BATAVIA
Mailing Address - State:IL
Mailing Address - Zip Code:60510-1922
Mailing Address - Country:US
Mailing Address - Phone:630-228-1404
Mailing Address - Fax:
Practice Address - Street 1:11 N BATAVIA AVE STE 107
Practice Address - Street 2:
Practice Address - City:BATAVIA
Practice Address - State:IL
Practice Address - Zip Code:60510-1922
Practice Address - Country:US
Practice Address - Phone:630-228-1404
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-06
Last Update Date:2023-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty