Individual provider · Type 1 NPI

Blake Churchill

Mental Health Counselor · Springfield, IL

NPI number 1982575858 Active

Practice location

3008 Happy Landing Dr
Springfield, IL 62711-6259

Call (855) 630-3182 Map

Mailing address

2636 S 9th St
Springfield, IL 62703-6725

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1982575858

Blake Churchill's National Provider Identifier is 1982575858, issued on Sep 15, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Springfield, IL. The record was last updated on Sep 15, 2025.