Andrew F Caldwell, | |
11020 State Route 250, Lawrenceville, IL 62439 | |
(618) 943-3754 | |
(618) 943-3657 |
Full Name | Andrew F Caldwell |
---|---|
Gender | Male |
Speciality | Counselor - Mental Health |
Location | 11020 State Route 250, Lawrenceville, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1396200531 | NPI | - | NPPES |
376006178008 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (Illinois) | Primary |
Entity Name | Resilient Counseling |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063195634 PECOS PAC ID: 6406295567 Enrollment ID: O20240423000042 |
Mailing Address | Practice Location Address |
---|---|
Andrew F Caldwell, 11020 State Route 250, Po Box 516, Lawrenceville, IL 62439 Ph: (618) 943-3754 | Andrew F Caldwell, 11020 State Route 250, Lawrenceville, IL 62439 Ph: (618) 943-3754 |
Anne Elizabeth Zuber, Counselor Medicare: Not Enrolled in Medicare Practice Location: Rr 3 Box 430, Lawrenceville, IL 62439 Phone: 618-943-2901 | |
Shambly Dawn Sorrells, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2101 James St, Lawrenceville, IL 62439 Phone: 618-943-3302 | |
Carrie Parker, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1501 Olive St, Lawrenceville, IL 62439 Phone: 618-943-3451 | |
Kayla Grace Peternel, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2101 James St, Lawrenceville, IL 62439 Phone: 618-943-3302 | |
Kristina Bates, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2101 James St, Lawrenceville, IL 62439 Phone: 618-943-3302 | |
Ms. Heather Blasingame, BS Counselor Medicare: Not Enrolled in Medicare Practice Location: 1501 Olive St, Lawrenceville, IL 62439 Phone: 618-943-3451 Fax: 618-943-4368 | |
Mitzi R Kurtz, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2101 James St, Lawrenceville, IL 62439 Phone: 618-943-3302 |