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General NPI Number Information
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NPI Number | 1184539678
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Entity Type | Organization
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Legal Business Name | SPOON RIVER COUNSELING & WELLNESS PLLC
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Dates
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Enumeration Date | 08/18/2026
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Last Update Date | 08/18/2026
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Provider Practice Location Address
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Address Line | 410 E ELM ST
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City | CANTON
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State | IL
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Zip | 61520-2759
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Country | US
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Telephone | 309-740-2171
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Fax |
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Provider Business Mailing Address
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Address Line | 410 E ELM ST
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City | CANTON
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State | IL
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Zip | 61520-2759
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Country | US
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Telephone | 309-740-2171
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Fax |
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Authorized Official
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Title or Position | CO-OWNER
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Name | DR. ANDREA STELIGA-PHILLIPS
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Credential | PSYD
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Telephone | 309-740-2171
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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