Healthcare Provider Details

I. General information

NPI: 1861322901
Provider Name (Legal Business Name): HERD & HEALING COUNSELING SERVICES PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/20/2026
Last Update Date: 05/20/2026
Certification Date: 05/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

807 W HIGHWAY 50 STE 3
O FALLON IL
62269-1856
US

IV. Provider business mailing address

807 W HIGHWAY 50 STE 3
O FALLON IL
62269-1856
US

V. Phone/Fax

Practice location:
  • Phone: 618-515-5673
  • Fax:
Mailing address:
  • Phone: 618-515-5673
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: MRS. AMANDA NOONER
Title or Position: OWNER/THERAPIST
Credential: LCPC
Phone: 618-515-5673