MEDICARE: SLP COUNSELING SERVICES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1194542274
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SLP COUNSELING SERVICES

Provider Business Mailing Address
First Line	:	317 WATER ST
Second Line	:
City	:	ROCHESTER
State	:	IL
Zip	:	62563-9561
Country	:	US
Telephone Number	:	217-685-5328
Fax Number	:

Provider Business Practice Location Address
First Line	:	201 S WALNUT ST STE 305B
Second Line	:
City	:	ROCHESTER
State	:	IL
Zip	:	62563-7501
Country	:	US
Telephone Number	:	217-685-5328
Fax Number	:

Authorized Official
Title or Position	:	THERAPIST
Name	:	STEPHANIE PERKINS
Credential	:	MS, CRC, LCPC
Telephone Number	:	217-685-5328

Provider Enumeration Date	:	09/20/2024
Last Update Date	:	11/02/2024

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Directions to “SLP COUNSELING SERVICES ” Practice Location

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