Healthcare Provider Details

I. General information

NPI: 1568328854
Provider Name (Legal Business Name): DANIELLE SCHENKEL LCPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/30/2025
Last Update Date: 12/30/2025
Certification Date: 12/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

75 E QUEENWOOD RD
MORTON IL
61550-2985
US

IV. Provider business mailing address

75 E QUEENWOOD RD
MORTON IL
61550-2985
US

V. Phone/Fax

Practice location:
  • Phone: 309-263-5565
  • Fax: 309-263-9336
Mailing address:
  • Phone: 309-263-5565
  • Fax: 309-263-9336

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number180017810
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: