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NPI Code Detail

MEDICARE: SEASON FOR CHANGE COUNSELING, PLLC

MEDICARE: SEASON FOR CHANGE COUNSELING, PLLC
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
1261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number : 1376398123
Entity Type Code : Organization
Provider Name (Legal Business Name) : SEASON FOR CHANGE COUNSELING, PLLC
Provider Business Mailing Address
First Line : 1202 AVENUE B
Second Line :
City : GOTHENBURG
State : NE
Zip : 69138-1600
Country : US
Telephone Number : 815-557-7719
Fax Number : 224-477-2714
Provider Business Practice Location Address
First Line : 2501 CHATHAM RD STE N
Second Line :
City : SPRINGFIELD
State : IL
Zip : 62704-4188
Country : US
Telephone Number : 815-557-7719
Fax Number : 224-477-2714
Authorized Official
Title or Position : OWNER
Name : KATHRYN BUHLE
Credential : LCPC
Telephone Number : 815-557-7719
Provider Enumeration Date : 04/23/2024
Last Update Date : 01/24/2026

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Directions to “SEASON FOR CHANGE COUNSELING, PLLC ” Practice Location

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