IndividualActive
Alexa Matthies
NPI 1417640947 · Mental Health Counselor · Sullivan, IL
Provider details
- NPI number
- 1417640947
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
12 W Harrison St
Sullivan, IL 61951-1907
Phone: (217) 728-4358
Approximate (ZIP-level) locationGet directions
Mailing address
12 W Harrison St
Sullivan, IL 61951-1907
Registry dates
- Enumerated
- 2023-05-31
- Last updated
- 2023-05-31
- Certified
- 2023-05-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.