Wellenreiter, Tara

Wellenreiter, Tara is an individual health care provider with primary practice located at 6615 N Big Hollow Rd , Peoria IL 61615-2450. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Wellenreiter, Tara can be contacted via phone (309) 692-6622.

Contact Information

Primary practice address
6615 N Big Hollow Rd Peoria IL 61615-2450
Phone: (309) 692-6622
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 180014988 Illinois
Behavioral Health & Social Service Providers / Professional 101YP2500X 178010377 Illinois
Behavioral Health & Social Service Providers / Professional 101YP2500X 180014988 Illinois

Profile Details

NPI number 1962824326
LBN Legal business name Wellenreiter, Tara
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 20th, 2014
Last updated Sep 13th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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