Healthcare Provider Details

I. General information

NPI: 1689391930
Provider Name (Legal Business Name): HEALING YOUR FEELINGS BEHAVIORAL HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/26/2022
Last Update Date: 01/05/2026
Certification Date: 01/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1170 E RIVERSIDE AVE
DECATUR IL
62521-3566
US

IV. Provider business mailing address

737 W HAROLD CIR
DECATUR IL
62526-1118
US

V. Phone/Fax

Practice location:
  • Phone: 217-917-3226
  • Fax:
Mailing address:
  • Phone: 217-855-7304
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. SARA THARP
Title or Position: OWNER
Credential: LCSW
Phone: 217-855-7304