Organization
BLOOMING HOPE COUNSELING PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLYN STAVES LCPC (OWNER/THERAPIST)
(618) 593-1023
Entity
Organization
Contact information
Practice address
807 W HIGHWAY 50 STE 3, O FALLON, IL 62269-1856
(618) 836-8142
Mailing address
807 W HIGHWAY 50 STE 3, O FALLON, IL 62269-1856
(618) 836-8142
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
08/22/2024
Last updated
08/22/2024
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