Individual provider · Type 1 NPI

Grace Elizabeth Longstreth

Mental Health Counselor · Bloomington, IL

NPI number 1487445987 Active

Practice location

1701 Clearwater Ave Ste D
Bloomington, IL 61704-6434

Call (309) 590-6788 Map

Mailing address

616 Iaa Dr
Bloomington, IL 61701-2225

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X178.022113 (IL)

Mental Health Counselor: Definition to come...

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About NPI 1487445987

Grace Elizabeth Longstreth's National Provider Identifier is 1487445987, issued on May 14, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Bloomington, IL. The record was last updated on Sep 24, 2025.