Organization
THE B SIDE COUNSELING & CONSULTING, PLLC
Active
Organization
THE B SIDE COUNSELING & CONSULTING, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA SEANIOR LCPC (LICENSED CLINICAL THERAPIST)
(312) 566-8782
Entity
Organization
Contact information
Practice address
2501 CHATHAM RD STE N, SPRINGFIELD, IL 62704-4188
(312) 566-8782
Mailing address
2501 CHATHAM RD STE N, SPRINGFIELD, IL 62704-4188
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
01/23/2025
Last updated
01/29/2025
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