Healthcare Provider Details

I. General information

NPI: 1922919448
Provider Name (Legal Business Name): JULIE L WEBER COUNSELING SERVICES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/14/2026
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1161 FORTUNE BLVD STE 400
SHILOH IL
62269-7385
US

IV. Provider business mailing address

627 BROOK STONE CT
FREEBURG IL
62243-4038
US

V. Phone/Fax

Practice location:
  • Phone: 618-401-2496
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: JULIE L WEBER
Title or Position: OWNER
Credential: LCPC
Phone: 618-401-2496