Healthcare Provider Details

I. General information

NPI: 1285241893
Provider Name (Legal Business Name): DR. VIOLETA CONE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/28/2020
Last Update Date: 06/28/2026
Certification Date: 06/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

808 S ELDORADO RD
BLOOMINGTON IL
61704-6071
US

IV. Provider business mailing address

1605 ROYAL POINTE DR
BLOOMINGTON IL
61704-8169
US

V. Phone/Fax

Practice location:
  • Phone: 217-671-9887
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number178.016308
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number071.022604
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: