Provider Demographics
NPI:1306626890
Name:GLOWING EMBERS COUNSELING LLC
Entity type:Organization
Organization Name:GLOWING EMBERS COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LCSW/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:REBEKAH
Authorized Official - Middle Name:
Authorized Official - Last Name:DICKEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:217-251-3913
Mailing Address - Street 1:2526 N 10TH ST
Mailing Address - Street 2:
Mailing Address - City:TERRE HAUTE
Mailing Address - State:IN
Mailing Address - Zip Code:47804-1106
Mailing Address - Country:US
Mailing Address - Phone:217-251-3913
Mailing Address - Fax:
Practice Address - Street 1:1226 N HIGH ST
Practice Address - Street 2:
Practice Address - City:PARIS
Practice Address - State:IL
Practice Address - Zip Code:61944-5998
Practice Address - Country:US
Practice Address - Phone:217-251-3913
Practice Address - Fax:217-466-9625
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-02
Last Update Date:2023-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty