Healthcare Provider Details

I. General information

NPI: 1912725524
Provider Name (Legal Business Name): PILLAR OF STRENGTH COUNSELING PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/01/2024
Last Update Date: 08/28/2026
Certification Date: 08/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

701 DEVONSHIRE DR STE D3
CHAMPAIGN IL
61820-7328
US

IV. Provider business mailing address

2501 CHATHAM RD STE 5633
SPRINGFIELD IL
62704-4188
US

V. Phone/Fax

Practice location:
  • Phone: 217-364-8338
  • Fax:
Mailing address:
  • Phone: 217-364-8338
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: KEONA JOHNSON
Title or Position: CEO
Credential: LCSW
Phone: 217-364-8338