Healthcare Provider Details

I. General information

NPI: 1639096852
Provider Name (Legal Business Name): HEALING THROUGH WORDS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/30/2026
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5630 W RACHAEL DR
PEORIA IL
61615-3058
US

IV. Provider business mailing address

2139 SW ADAMS ST
PEORIA IL
61602-1801
US

V. Phone/Fax

Practice location:
  • Phone: 309-453-6257
  • Fax:
Mailing address:
  • Phone: 309-453-6257
  • 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: KENDRA MOULTRIE-BELK
Title or Position: OWNER
Credential: LCPC
Phone: 309-453-6257