Organization
AMANDA POWELL PSYCHOTHERAPY AND SOCIAL WORK CONSULTING SERVICES PL
Active
Other names
THERAPY FOR POSITIVE AGING
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA SHEREE POWELL LCSW (OWNER)
(309) 333-0293
Entity
Organization
Contact information
Practice address
34 N MAIN ST, ST AUGUSTINE, IL 61474-9800
(309) 351-8584
Mailing address
34 N MAIN ST, ST AUGUSTINE, IL 61474-9800
(309) 351-8584
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
04/28/2022
Last updated
10/15/2024
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