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Organization
KEVIN ELLIOTT COUNSELING, PC
Active
Organization
KEVIN ELLIOTT COUNSELING, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAREVA SCHWANKE (CREDENTIALING LEAD)
(217) 398-9066
Entity
Organization
Contact information
Practice address
105 8TH ST., MATTOON, IL 61938
(217) 398-9066
(217) 398-9077
Mailing address
105 8TH ST., MATTOON, IL 61938
(217) 398-9066
(217) 398-9077
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
07/29/2026
Last updated
08/14/2026
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