Organization
CHAMPIONS HEART OASIS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. OMOLOLA SOLAPE LAWAL (MANAGER)
(217) 828-0962
Entity
Organization
Contact information
Practice address
207 W JEFFERSON ST STE 311, BLOOMINGTON, IL 61701-3969
(217) 828-0962
Mailing address
1762 BEECH ST, NORMAL, IL 61761-5622
(217) 828-0962
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
04/14/2025
Last updated
04/14/2025
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