Deanna L Stacy, MA, LCPC, NCC | |
15941 Harlem Ave # 140, Tinley Park, IL 60477-1609 | |
(779) 435-4271 | |
Not Available |
Full Name | Deanna L Stacy |
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Gender | Female |
Speciality | Counselor - Mental Health |
Location | 15941 Harlem Ave # 140, Tinley Park, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1558784942 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 180009845 (Illinois) | Primary |
Entity Name | Great Changes Counseling Services, P.c. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205137346 PECOS PAC ID: 3375718604 Enrollment ID: O20111214000693 |
Mailing Address | Practice Location Address |
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Deanna L Stacy, MA, LCPC, NCC 15941 Harlem Ave # 140, Tinley Park, IL 60477-1609 Ph: (779) 435-4271 | Deanna L Stacy, MA, LCPC, NCC 15941 Harlem Ave # 140, Tinley Park, IL 60477-1609 Ph: (779) 435-4271 |
Kimberly Pinkston, LCPC, CADC, BC-DMT Counselor Medicare: Not Enrolled in Medicare Practice Location: 8041 186th St Ste B, Tinley Park, IL 60487 Phone: 815-310-1582 | |
Mrs. Lynn Wachtel Shapiro, MSW Counselor Medicare: Accepting Medicare Assignments Practice Location: 17732 Oak Park Ave, Tinley Park, IL 60477 Phone: 708-342-1773 Fax: 708-342-1780 | |
Dorlisa Bethany, Counselor Medicare: Not Enrolled in Medicare Practice Location: 17746 Oak Park Ave, Tinley Park, IL 60477 Phone: 708-444-1012 | |
Diane Wendt, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 8200 W 185th St., Suite 17, Tinley Park, IL 60477 Phone: 708-560-3801 | |
Mrs. Kristen Marie Scott, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 17226 Harlem Ave, Tinley Park, IL 60477 Phone: 773-350-6289 Fax: 708-810-6789 | |
Reem Mohamed, Counselor Medicare: Not Enrolled in Medicare Practice Location: 16335 Harlem Ave, Suite 424, Tinley Park, IL 60477 Phone: 708-310-5115 Fax: 708-294-3993 | |
Danielle Lyon, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6801 West 180th Court, Tinley Park, IL 60477 Phone: 708-256-6285 |