Joy Tamberlin Henderson, | |
4112 Fieldstone Rd Suite B, Champaign, IL 61820-6182 | |
(217) 737-1833 | |
Not Available |
Full Name | Joy Tamberlin Henderson |
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Gender | Female |
Speciality | Counselor - Mental Health |
Location | 4112 Fieldstone Rd Suite B, Champaign, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1710514971 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Entity Name | Keri Powell Therapy Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174751663 PECOS PAC ID: 9638335532 Enrollment ID: O20120720000534 |
Mailing Address | Practice Location Address |
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Joy Tamberlin Henderson, 245 E Roosevelt Rd Ste 103, West Chicago, IL 60185-3998 Ph: (217) 737-1833 | Joy Tamberlin Henderson, 4112 Fieldstone Rd Suite B, Champaign, IL 61820-6182 Ph: (217) 737-1833 |
Staci Poe, Counselor Medicare: Not Enrolled in Medicare Practice Location: 44 E Main St, Ste 406, Champaign, IL 61820 Phone: 217-398-9066 Fax: 217-398-9077 | |
Marie Duffin, Counselor Medicare: Not Enrolled in Medicare Practice Location: 701 Devonshire Dr Ste B16-18, Champaign, IL 61820 Phone: 217-531-2360 | |
Laura Green, LSW Counselor Medicare: Medicare Enrolled Practice Location: 201 W Springfield Ave, Champaign, IL 61820 Phone: 217-693-4918 | |
Jennifer Carleton, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 411 Devonshire Dr, Champaign, IL 61820 Phone: 217-904-3035 | |
Rachel Cooper Brown, MS, LPC Counselor Medicare: Medicare Enrolled Practice Location: 309 W Clark St, Champaign, IL 61820 Phone: 217-398-9066 Fax: 217-398-9077 | |
Whitley Tate, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2104 Windsor Pl Ste A, Champaign, IL 61820 Phone: 217-552-1058 Fax: 855-848-7422 | |
Ms. Johanna Hermina Willemse, BA, MHP Counselor Medicare: Medicare Enrolled Practice Location: 202 W Park Ave, Champaign, IL 61820 Phone: 217-373-2436 |