Provisionii Behaviorial Health LLC
Provisionii Behaviorial Health LLC is a Mental Health Clinic/Center (Including Community Mental Health Center) in Peoria, Illinois. Registered with an NPI since 2025.
- In the registry since
- 2025
- Specialties on file
- 3
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
820 SW Adams StPeoria, IL 61602-1623
Phone: (309) 223-4171
Fax: (309) 223-4125
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Clinic/Center (Including Community Mental Health Center) (primary) | Taxonomy 261QM0801X |
|---|---|
| Adult Mental Health Clinic/Center | Taxonomy 261QM0850X |
| Adolescent and Children Mental Health Clinic/Center | Taxonomy 261QM0855X |
Record details
| NPI number | 1306710850 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Brandon Russell — Founder & Ceo · (309) 223-4171 |
| NPI enumerated | September 29, 2025 |
| Last updated in NPPES | September 29, 2025 |
| Certification date | September 29, 2025 |
| Mailing address | 820 Sw Adams St, Peoria, IL 61602-1623 |
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