Provider Demographics
NPI:1982175212
Name:BLUE SKIES COUNSELING LLC
Entity type:Organization
Organization Name:BLUE SKIES COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:TOMARA
Authorized Official - Last Name:LYNN
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC, CADC
Authorized Official - Phone:309-992-1881
Mailing Address - Street 1:500 MAITLAND DR
Mailing Address - Street 2:
Mailing Address - City:CARLOCK
Mailing Address - State:IL
Mailing Address - Zip Code:61725-9514
Mailing Address - Country:US
Mailing Address - Phone:309-585-5359
Mailing Address - Fax:
Practice Address - Street 1:1100 BEECH ST STE 3
Practice Address - Street 2:
Practice Address - City:NORMAL
Practice Address - State:IL
Practice Address - Zip Code:61761-1493
Practice Address - Country:US
Practice Address - Phone:309-585-5359
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-16
Last Update Date:2025-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty