Organization
TWO ROADS WELLNESS CLINIC, LLC
Active
Other names
Two Roads Wellness Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JESSICA NEMECZ LCPC (COUNSELOR)
(217) 651-6801
Entity
Organization
Contact information
Practice address
3545 N VERMILION ST, DANVILLE, IL 61832-1100
(217) 651-6801
(217) 651-6802
Mailing address
3545 N VERMILION ST, DANVILLE, IL 61832-1100
(217) 651-6801
(217) 651-6802
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
363L00000X
Nurse Practitioner
—
—
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/29/2015
Last updated
12/13/2024
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