NPI 1740134881 · live from the CMS NPI Registry
Bethany Psychotherapy & Wellness PLLC
Marriage & Family Therapist in Champaign, IL. National Provider Identifier 1740134881, active.
NPI record
| NPI | 1740134881 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Marriage & Family Therapist 106H00000X |
| Practice location | 604 E Armory Ave, Champaign, IL 61820 |
| Practice phone | 402-413-5668 |
| Mailing address | 1503 Bear Creek Dr, Bloomington, IL 61704 |
| Enumerated | February 25, 2026 |
| Last updated | February 25, 2026 |
| Authorized official | Mia Sudkamp, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Marriage & Family Therapist primary | 106H00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.