Healthcare Provider Details

I. General information

NPI: 1336902592
Provider Name (Legal Business Name): CENTERED THERAPY & WELLNESS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/31/2024
Last Update Date: 11/11/2025
Certification Date: 11/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 W ADAMS ST
MORTON IL
61550-1804
US

IV. Provider business mailing address

200 W ADAMS ST
MORTON IL
61550-1804
US

V. Phone/Fax

Practice location:
  • Phone: 309-320-8839
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: CHRISTINE GLANERT
Title or Position: OWNER
Credential:
Phone: 309-291-0306