George Brassea Iii, LCPC | |
222 Vollmer Rd Ste Aa, Chicago Heights, IL 60411-1886 | |
(708) 248-7039 | |
Not Available |
Full Name | George Brassea Iii |
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Gender | Male |
Speciality | Counselor - Professional |
Location | 222 Vollmer Rd Ste Aa, Chicago Heights, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1528420213 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 180.011327 (Illinois) | Secondary |
101YP2500X | Counselor - Professional | (Illinois) | Primary |
Entity Name | Talkspace Provider Network Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639814049 PECOS PAC ID: 5799136701 Enrollment ID: O20241001001571 |
Mailing Address | Practice Location Address |
---|---|
George Brassea Iii, LCPC 210 N Arquilla Dr, Chicago Heights, IL 60411-1702 Ph: (708) 769-5015 | George Brassea Iii, LCPC 222 Vollmer Rd Ste Aa, Chicago Heights, IL 60411-1886 Ph: (708) 248-7039 |
Deana Laster, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1236 Ashland Ave, Chicago Heights, IL 60411 Phone: 708-444-1012 | |
Frida Asongwe, Counselor Medicare: Not Enrolled in Medicare Practice Location: 450 W 14th St, Chicago Heights, IL 60411 Phone: 708-444-1012 | |
Jordan Deyoung, Counselor Medicare: Not Enrolled in Medicare Practice Location: 450 W 14th St, Chicago Heights, IL 60411 Phone: 708-503-9670 Fax: 708-503-1218 | |
Robbie N Owens, Counselor Medicare: Not Enrolled in Medicare Practice Location: 155 W Lincoln Hwy, Chicago Heights, IL 60411 Phone: 708-351-9237 | |
Timothy Moore, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 450 W 14th St, Chicago Heights, IL 60411 Phone: 708-503-9670 | |
Diane Franzen, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 450 W 14th St, Chicago Heights, IL 60411 Phone: 708-503-9670 | |
David Rilex, Counselor Medicare: Not Enrolled in Medicare Practice Location: 450 W 14th St, Chicago Heights, IL 60411 Phone: 708-503-9670 |