Provider Demographics
NPI:1508730821
Name:ABC COUNSELING & FAMILY SERVICES INC
Entity type:Organization
Organization Name:ABC COUNSELING & FAMILY SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:JENNINGS-MITCHELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:309-451-9495
Mailing Address - Street 1:705 E LINCOLN ST STE 303
Mailing Address - Street 2:
Mailing Address - City:NORMAL
Mailing Address - State:IL
Mailing Address - Zip Code:61761-6406
Mailing Address - Country:US
Mailing Address - Phone:309-451-9495
Mailing Address - Fax:
Practice Address - Street 1:414 HAMILTON BLVD STE 210
Practice Address - Street 2:
Practice Address - City:PEORIA
Practice Address - State:IL
Practice Address - Zip Code:61602-1233
Practice Address - Country:US
Practice Address - Phone:309-689-2990
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ABC COUNSELING & FAMILY SERVICES INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-09-30
Last Update Date:2025-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health