Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
PERSIMMON TREE COUNSELING, LLC
Active
Organization
PERSIMMON TREE COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW HICKMAN LCPC (MANAGER)
(309) 431-1296
Entity
Organization
Contact information
Practice address
207 W JEFFERSON ST STE 401, BLOOMINGTON, IL 61701-3969
(309) 431-1296
Mailing address
807 S GROVE ST, NORMAL, IL 61761-2840
(309) 287-6379
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
07/07/2022
Last updated
07/12/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up