Alyssa Goodman, LCPC | |
165 Kinnaman Dr, Flora, IL 62839-4204 | |
(618) 662-8386 | |
(618) 662-4338 |
Full Name | Alyssa Goodman |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 165 Kinnaman Dr, Flora, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1538610209 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 180010544 (Illinois) | Primary |
Entity Name | Christopher Greater Area Rural Health Planning Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073816542 PECOS PAC ID: 8224947387 Enrollment ID: O20040109000561 |
Mailing Address | Practice Location Address |
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Alyssa Goodman, LCPC Po Box 155, Christopher, IL 62822-0155 Ph: (618) 724-1633 | Alyssa Goodman, LCPC 165 Kinnaman Dr, Flora, IL 62839-4204 Ph: (618) 662-8386 |
Mrs. Tina Mcgee, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 901 W 3rd St, Flora, IL 62839 Phone: 618-662-2871 Fax: 618-662-4748 | |
Mrs. Amanda Lyann Horvet, BCBA Counselor Medicare: Not Enrolled in Medicare Practice Location: 832 W North Ave Ste C, Flora, IL 62839 Phone: 618-662-8494 Fax: 618-662-9519 | |
Mrs. Gail Leturno, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 903 West 3rd Street, Flora, IL 62839 Phone: 618-662-2871 Fax: 618-662-3720 | |
Mr. James R Tarpley, Counselor Medicare: Not Enrolled in Medicare Practice Location: 118 W North Ave, Flora, IL 62839 Phone: 618-662-2289 Fax: 618-662-2906 | |
Deborah M Artis, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 911 Stacey Burk Dr, Flora, IL 62839 Phone: 618-662-2131 | |
Mr. Michael Dodge, Counselor Medicare: Not Enrolled in Medicare Practice Location: 901 W 3rd St, Flora, IL 62839 Phone: 618-662-2871 Fax: 618-662-4748 |