Organization
EQUINE EMPOWERED COUNSELING CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ALISIA NICOLE QUIGLEY-HOLMBECK LCSW (OWNER/THERAPIST)
(815) 343-2636
Entity
Organization
Contact information
Practice address
5220 HATTONS RD, HENNEPIN, IL 61327-5022
(815) 343-2636
Mailing address
9364 E 1175TH ST, GRANVILLE, IL 61326-9486
(815) 343-2636
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
05/17/2023
Last updated
05/17/2023
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