IndividualActive
Micah Wiley, BA, MHP
NPI 1689404691 · Mental Health Counselor · Sullivan, IL
Provider details
- NPI number
- 1689404691
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Credential
- BA, MHP
- 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
Fax: (217) 728-2270
Approximate (ZIP-level) locationGet directions
Mailing address
12 W Harrison St
Sullivan, IL 61951-1907
Registry dates
- Enumerated
- 2024-08-05
- Last updated
- 2024-08-05
- Certified
- 2024-08-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.