Provider Demographics
NPI:1922442110
Name:TAMI KNELL LTD.
Entity type:Organization
Organization Name:TAMI KNELL LTD.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TAMI
Authorized Official - Middle Name:
Authorized Official - Last Name:NAMEY
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:217-487-4522
Mailing Address - Street 1:P.O. BOX 17
Mailing Address - Street 2:
Mailing Address - City:SAVOY
Mailing Address - State:IL
Mailing Address - Zip Code:61874-0717
Mailing Address - Country:US
Mailing Address - Phone:217-861-4063
Mailing Address - Fax:217-864-8919
Practice Address - Street 1:2919 CROSSING COURT
Practice Address - Street 2:SUITE 13
Practice Address - City:CHAMPAIGN
Practice Address - State:IL
Practice Address - Zip Code:61822-5903
Practice Address - Country:US
Practice Address - Phone:217-861-4063
Practice Address - Fax:217-864-8919
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-18
Last Update Date:2024-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1490113251041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty