Organization
BODHI COUNSELING & CONSULTING CENTER, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELANIE SIVLEY LCWS (OWNER)
(217) 731-4638
Entity
Organization
Contact information
Practice address
100 TRADE CENTRE DR STE 302, CHAMPAIGN, IL 61820-7233
(217) 731-4638
Mailing address
212 E MARSHALL ST, TOLONO, IL 61880-9549
(217) 731-4638
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
08/27/2021
Last updated
08/06/2025
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