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Organization
SIMPLE COUNSELING LLC
Active
Organization
SIMPLE COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ISIS MENDOZAGARNICA L.C.P.C. (CLINICIAN/THERAPIST)
(315) 547-0502
Entity
Organization
Contact information
Practice address
2501 CHATHAM RD STE 8115, SPRINGFIELD, IL 62704-4188
(224) 201-7333
Mailing address
2501 CHATHAM RD STE 8115, SPRINGFIELD, IL 62704-4188
(224) 201-7333
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
03/22/2023
Last updated
06/12/2026
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