Organization
BETHANY PSYCHOTHERAPY & WELLNESS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIA F SUDKAMP LMFT (OWNER)
(708) 285-0624
Entity
Organization
Contact information
Practice address
604 E ARMORY AVE, CHAMPAIGN, IL 61820-6240
(402) 413-5668
Mailing address
1503 BEAR CREEK DR, BLOOMINGTON, IL 61704-9472
(402) 413-5668
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
02/25/2026
Last updated
02/25/2026
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