Provider Demographics
NPI:1427806454
Name:SINCERELY THERAPY, PLLC
Entity type:Organization
Organization Name:SINCERELY THERAPY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:HEIDI
Authorized Official - Middle Name:
Authorized Official - Last Name:LOBDELL
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC
Authorized Official - Phone:815-275-2149
Mailing Address - Street 1:152 W MAIN ST STE 10
Mailing Address - Street 2:
Mailing Address - City:LENA
Mailing Address - State:IL
Mailing Address - Zip Code:61048-9247
Mailing Address - Country:US
Mailing Address - Phone:815-275-6005
Mailing Address - Fax:
Practice Address - Street 1:152 W MAIN ST STE 10
Practice Address - Street 2:
Practice Address - City:LENA
Practice Address - State:IL
Practice Address - Zip Code:61048-9247
Practice Address - Country:US
Practice Address - Phone:815-275-6005
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-06
Last Update Date:2024-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty