Anita Marie Brown, LCPC | |
346 Forest Blvd, Park Forest, IL 60466-2005 | |
(708) 785-4879 | |
Not Available |
Full Name | Anita Marie Brown |
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Gender | Female |
Speciality | Counselor - Mental Health |
Location | 346 Forest Blvd, Park Forest, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1447676598 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | 29667 (Illinois) | Secondary |
101YM0800X | Counselor - Mental Health | 180.008678 (Illinois) | Primary |
Entity Name | County Of Lake |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164446712 PECOS PAC ID: 7214838861 Enrollment ID: O20040116000192 |
Mailing Address | Practice Location Address |
---|---|
Anita Marie Brown, LCPC 346 Forest Blvd, Park Forest, IL 60466-2005 Ph: (708) 785-4879 | Anita Marie Brown, LCPC 346 Forest Blvd, Park Forest, IL 60466-2005 Ph: (708) 785-4879 |
Kenyetta N. Broughton-floyd, Counselor Medicare: Not Enrolled in Medicare Practice Location: 201 Lester Rd, Park Forest, IL 60466 Phone: 312-238-9128 | |
Timothy Treadwell, Counselor Medicare: Not Enrolled in Medicare Practice Location: 268 Main St, Park Forest, IL 60466 Phone: 312-870-0828 | |
Ruth A Bartman, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 28 W Rocket Cir, Park Forest, IL 60466 Phone: 708-926-4128 | |
Carina Robinson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 55 N Arbor Trl Apt 405, Park Forest, IL 60466 Phone: 708-910-8380 | |
Kimberly Sheena Williams, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 55 N Arbor Trl, Apt. 501, Park Forest, IL 60466 Phone: 708-439-5181 | |
Tenisha Oliver, Counselor Medicare: Not Enrolled in Medicare Practice Location: 73 Westwood Dr, Park Forest, IL 60466 Phone: 708-444-1012 |