IndividualActive
Bethany Porter, LCSW
NPI 1174102891 · Mental Health Counselor · Equality, IL
Provider details
- NPI number
- 1174102891
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- License
- 149023108 (IL)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
2161 Old Highway 13
Equality, IL 62934-2035
Phone: (618) 384-8055
Approximate (ZIP-level) locationGet directions
Mailing address
2161 Old Highway 13
Equality, IL 62934-2035
Registry dates
- Enumerated
- 2021-04-08
- Last updated
- 2022-12-28
- Certified
- 2022-11-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.