Organization
EARTH WATER AIR COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SCARLETT MARIA MEYER LCPC (OWNER/COUNSELOR)
(217) 242-7451
Entity
Organization
Contact information
Practice address
1161 FORTUNE BLVD STE 200, SHILOH, IL 62269-7385
(618) 777-6670
(877) 811-5628
Mailing address
1161 FORTUNE BLVD STE 200, SHILOH, IL 62269-7385
(618) 777-6670
(877) 811-5628
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
08/16/2020
Last updated
08/24/2020
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