Bernadette Mangialardi, LCPC | |
700 W Lincoln Ave Ste 200, Charleston, IL 61920-2468 | |
(217) 238-4042 | |
(217) 238-4053 |
Full Name | Bernadette Mangialardi |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 700 W Lincoln Ave Ste 200, Charleston, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1841736816 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
101YP2500X | Counselor - Professional | 180-015472 (Illinois) | Primary |
Entity Name | Sarah Bush Lincoln Health Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669564662 PECOS PAC ID: 5092614867 Enrollment ID: O20031231000478 |
Mailing Address | Practice Location Address |
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Bernadette Mangialardi, LCPC Po Box 372, Mattoon, IL 61938-0372 Ph: () - | Bernadette Mangialardi, LCPC 700 W Lincoln Ave Ste 200, Charleston, IL 61920-2468 Ph: (217) 238-4042 |
Mrs. Francesca Lynn Ehlers, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 121 W State St, Charleston, IL 61920 Phone: 217-345-4642 Fax: 217-210-0227 | |
Michael Parrish Dellinger, MHP Counselor Medicare: Not Enrolled in Medicare Practice Location: 701 Monroe Ave, Charleston, IL 61920 Phone: 217-294-6727 | |
John H Bulthouse Jr., Counselor Medicare: Not Enrolled in Medicare Practice Location: 655 W Lincoln Ave Ste 8, Charleston, IL 61920 Phone: 217-254-6582 | |
Crystal Edwards, Counselor Medicare: Not Enrolled in Medicare Practice Location: 903 W Lincoln Ave, Charleston, IL 61920 Phone: 217-348-8384 | |
Shelby Renee Jackson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1836 Victoria Ln, Charleston, IL 61920 Phone: 217-508-8080 Fax: 217-512-2288 | |
Amanda Fedder, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 121 W State St, Charleston, IL 61920 Phone: 217-345-4642 | |
Chuck L Mason, BS Counselor Medicare: Not Enrolled in Medicare Practice Location: 1836 Victoria Ln, Charleston, IL 61920 Phone: 217-508-8080 Fax: 217-512-2288 |