Organization
EDGE COUNSELING AND WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AUDREY LEMASTERS LCSW (OWNER)
(309) 360-8912
Entity
Organization
Contact information
Practice address
719 W LAKE AVE, PEORIA, IL 61614-5941
(309) 360-8912
Mailing address
719 W LAKE AVE, PEORIA, IL 61614-5941
(309) 360-8912
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
05/17/2018
Last updated
11/07/2021
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