Healthcare Provider Details

I. General information

NPI: 1033779319
Provider Name (Legal Business Name): REACH COUNSELING INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/18/2019
Last Update Date: 06/18/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

116 W LAFAYETTE ST STE 4
OTTAWA IL
61350-2160
US

IV. Provider business mailing address

3228 E 19TH RD
OTTAWA IL
61350-9437
US

V. Phone/Fax

Practice location:
  • Phone: 815-228-0684
  • Fax:
Mailing address:
  • Phone: 815-228-0684
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YS0200X
TaxonomySchool Counselor
License Number
License Number State

VIII. Authorized Official

Name: MARGARET ALDERMAN
Title or Position: LICENSED CLINICAL COUNSELOR/OWNER
Credential: LCPC
Phone: 815-228-0684