Provider Demographics
NPI:1386395952
Name:SINCLAIR COUNSELING & THERAPY SERVICES, LLC
Entity type:Organization
Organization Name:SINCLAIR COUNSELING & THERAPY SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:KRISTI
Authorized Official - Last Name:SINCLAIR HAWLEY
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:309-863-5590
Mailing Address - Street 1:119 STONECROP RD
Mailing Address - Street 2:
Mailing Address - City:MORTON
Mailing Address - State:IL
Mailing Address - Zip Code:61550-3155
Mailing Address - Country:US
Mailing Address - Phone:309-863-5590
Mailing Address - Fax:309-453-6276
Practice Address - Street 1:5016 N UNIVERSITY ST STE 101
Practice Address - Street 2:
Practice Address - City:PEORIA
Practice Address - State:IL
Practice Address - Zip Code:61614-4763
Practice Address - Country:US
Practice Address - Phone:309-863-5590
Practice Address - Fax:309-453-6276
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-14
Last Update Date:2022-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty