Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BETHANY PORTER, LCSW
Active Sole ProprietorBETHANY PORTER, LCSW is a Mental Health Counselor healthcare provider located in EQUALITY, Illinois. NPI 1174102891 is currently active in the NPPES registry. Verify at CMS.
Mental Health Counselor · EQUALITY, IL
Registration Details
- NPI Number
- 1174102891
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 8, 2021 (5.3440898267515 yrs)
- Last Updated
- Dec 28, 2022
- License
-
149023108 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2161 OLD HIGHWAY 13EQUALITY, IL, 629342035Browse IL providers · Browse ZIP 62934
- Phone
- 6183848055
- Primary Specialty
-
Mental Health Counselor
101YM0800X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.