Healthcare Provider Details

I. General information

NPI: 1639370653
Provider Name (Legal Business Name): DENNIS PAUL BILLMAN LPC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/29/2007
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

108 NORTHPORT DR
ALTON IL
62002-5904
US

IV. Provider business mailing address

108 NORTHPORT DR
ALTON IL
62002-5904
US

V. Phone/Fax

Practice location:
  • Phone: 618-466-0295
  • Fax:
Mailing address:
  • Phone: 618-466-0295
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number178.017686
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number2006015367
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: