Healthcare Provider Details

I. General information

NPI: 1932018306
Provider Name (Legal Business Name): MVV COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/02/2026
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

815 WHITLOCK RD
RALEIGH IL
62977-1514
US

IV. Provider business mailing address

815 WHITLOCK RD
RALEIGH IL
62977-1514
US

V. Phone/Fax

Practice location:
  • Phone: 618-595-0428
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: MICHELLE MARIE VENEGONI-VIGIL
Title or Position: OWNER
Credential:
Phone: 618-967-1687