Healthcare Provider Details

I. General information

NPI: 1093653602
Provider Name (Legal Business Name): COUNSELING BY STEVEN
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/24/2026
Last Update Date: 03/24/2026
Certification Date: 03/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1281 W LAKESHORE DR
FOWLER IL
62338-2420
US

IV. Provider business mailing address

1281 W LAKESHORE DR
FOWLER IL
62338-2420
US

V. Phone/Fax

Practice location:
  • Phone: 573-719-1561
  • Fax:
Mailing address:
  • Phone: 573-719-1561
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: STEVEN SPEARS
Title or Position: OWNER
Credential: LCPC
Phone: 573-719-1561