Healthcare Provider Details

I. General information

NPI: 1831526961
Provider Name (Legal Business Name): TRUTH IN LOVE COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/03/2013
Last Update Date: 12/10/2025
Certification Date: 12/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

808 S ELDORADO RD STE 400
BLOOMINGTON IL
61704-6068
US

IV. Provider business mailing address

808 S ELDORADO RD STE 400
BLOOMINGTON IL
61704-6068
US

V. Phone/Fax

Practice location:
  • Phone: 309-585-0241
  • Fax:
Mailing address:
  • Phone: 309-585-0241
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number180005335
License Number StateIL

VIII. Authorized Official

Name: CARRIE P BUSSMANN
Title or Position: DIRECTOR
Credential: LCPC
Phone: 309-585-0241