Millicent Mutisya

Counselor · Peoria, IL

Individual Active NPI

NPI number 1891493797

Practice location

1115 N North St Ste C
Peoria, IL 61606-1959
Phone
(309) 839-8984

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NPI record

NPI
1891493797
Entity type
Individual (Type 1)
Enumeration date
February 20, 2023
Last updated
February 20, 2023
Certified
February 20, 2023
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Counselor Primary 101Y00000X — —

Mailing address

1801 Watermark Dr
Columbus, OH 43215-7088

About Millicent Mutisya

Millicent Mutisya is a healthcare provider registered in the NPI registry with the primary taxonomy Counselor (code 101Y00000X). The practice location is 1115 N North St Ste C, Peoria, IL 61606-1959. The NPI number 1891493797 was assigned on February 20, 2023 and the record was last updated on February 20, 2023.

Frequently asked questions

What is the NPI number of Millicent Mutisya?

The NPI number is 1891493797.

What is the phone number of Millicent Mutisya?

The phone number listed for the practice location is (309) 839-8984.

Where is Millicent Mutisya located?

1115 N North St Ste C, Peoria, IL 61606-1959.

What is the taxonomy code for Millicent Mutisya?

The primary taxonomy code is 101Y00000X – Counselor.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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