Colleen Harden Aziz, LCPC | |
101 Gentian, Savoy, IL 61874-8544 | |
(217) 369-0819 | |
Not Available |
Full Name | Colleen Harden Aziz |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 101 Gentian, Savoy, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1619311776 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 180.010824 (Illinois) | Primary |
Entity Name | Cup Of Tea Counseling, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043971385 PECOS PAC ID: 0042663577 Enrollment ID: O20240131002129 |
Mailing Address | Practice Location Address |
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Colleen Harden Aziz, LCPC 101 Gentian, Savoy, IL 61874-8544 Ph: (217) 369-0819 | Colleen Harden Aziz, LCPC 101 Gentian, Savoy, IL 61874-8544 Ph: (217) 369-0819 |
Dale Vingren, MSW, CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 206 Burwash Ave, Savoy, IL 61874 Phone: 217-356-3400 | |
Mrs. Jessica Erin Culp, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1810 Woodfield Dr, Savoy, IL 61874 Phone: 217-417-1701 | |
Christopher Gadow, Counselor Medicare: Not Enrolled in Medicare Practice Location: 206 Burwash Ave, Savoy, IL 61874 Phone: 217-356-3400 | |
Lauren Benton, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1801 Woodfield Dr, Savoy, IL 61874 Phone: 217-560-4476 | |
Brenda Sommer, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1801 Woodfield Dr # 207, Savoy, IL 61874 Phone: 309-531-8945 | |
Karen L Aprill, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1401 Regency Dr E, Suite A, Savoy, IL 61874 Phone: 217-328-4993 Fax: 217-239-2331 | |
Barbara Myers, LCSW Counselor Medicare: Accepting Medicare Assignments Practice Location: 7 Dunlap Ct, Savoy, IL 61874 Phone: 217-352-0200 Fax: 217-607-1139 |