| Amanda Rushing, LCPC | |
|
1006 S Division St, Carterville, IL 62918-1539 | |
| (618) 519-9200 | |
| (618) 985-3774 |
| Full Name | Amanda Rushing |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 1006 S Division St, Carterville, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215455472 | NPI | - | NPPES |
| 370915481007 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 180.013503 (Illinois) | Primary |
| Entity Name | Shawnee Health Service And Development Corp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639295314 PECOS PAC ID: 1658285671 Enrollment ID: O20031120000454 |
| Mailing Address | Practice Location Address |
|---|---|
| Amanda Rushing, LCPC 109 California St, Po Box 577, Carterville, IL 62918-0577 Ph: (618) 519-9200 | Amanda Rushing, LCPC 1006 S Division St, Carterville, IL 62918-1539 Ph: (618) 519-9200 |
Ms. Lisa Marie Koegler, MS,LCPC Counselor Medicare: Medicare Enrolled Practice Location: 403 Municipal Dr, Carterville, IL 62918 Phone: 855-608-3560 Fax: 618-956-9349 | |
Cheryl Muckley, Counselor Medicare: Not Enrolled in Medicare Practice Location: 403 Municipal Dr, Carterville, IL 62918 Phone: 855-608-3561 Fax: 618-956-9349 | |
Bridgett Holder, MSW, MHP Counselor Medicare: Not Enrolled in Medicare Practice Location: 403 Municipal Dr, Carterville, IL 62918 Phone: 855-608-3560 | |
Tamara Samples, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 403 Municipal Dr, Carterville, IL 62918 Phone: 855-608-3560 Fax: 618-956-9349 | |
Erich Pilz, Counselor Medicare: Not Enrolled in Medicare Practice Location: 403 Municipal Dr, Carterville, IL 62918 Phone: 855-608-3560 Fax: 618-956-9349 | |
Marah Willmore, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 403 Municipal Dr, Carterville, IL 62918 Phone: 855-608-3560 Fax: 618-956-9349 | |
Victoria Mayo, Counselor Medicare: Not Enrolled in Medicare Practice Location: 403 Municipal Dr, Carterville, IL 62918 Phone: 855-608-3560 Fax: 618-956-9349 |