Healthcare Provider Details

I. General information

NPI: 1275124521
Provider Name (Legal Business Name): KEILYN ARIANA FRENCH MA, LCPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/29/2021
Last Update Date: 04/06/2026
Certification Date: 04/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3201 PLEASANT RUN STE A
SPRINGFIELD IL
62711-6334
US

IV. Provider business mailing address

3201 PLEASANT RUN STE A
SPRINGFIELD IL
62711-6334
US

V. Phone/Fax

Practice location:
  • Phone: 217-553-4120
  • Fax:
Mailing address:
  • Phone: 217-553-4120
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number180.083257
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: