Keith Brooks, LPC | |
210 Avenue C, Danville, IL 61832-5410 | |
(217) 442-3200 | |
(217) 442-7460 |
Full Name | Keith Brooks |
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Gender | Male |
Speciality | Counselor - Professional |
Location | 210 Avenue C, Danville, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1467715029 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 178.011127 (Illinois) | 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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Keith Brooks, LPC 210 Avenue C, Danville, IL 61832-5410 Ph: (217) 442-3200 | Keith Brooks, LPC 210 Avenue C, Danville, IL 61832-5410 Ph: (217) 442-3200 |
Mrs. Jamie Renee Meagher, BS, MHP Counselor Medicare: Not Enrolled in Medicare Practice Location: 210 Avenue C, Danville, IL 61832 Phone: 217-442-3200 Fax: 217-442-7460 | |
Shakela Mcwaine, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3545 N Vermilion St, Danville, IL 61832 Phone: 217-651-6801 Fax: 217-651-6802 | |
Katherine Brewer, Counselor Medicare: Not Enrolled in Medicare Practice Location: 800 Oak St, Danville, IL 61832 Phone: 217-504-0131 | |
Mrs. Susan Perkins, LCPC Counselor Medicare: Medicare Enrolled Practice Location: 210 Avenue C, Danville, IL 61832 Phone: 217-442-3200 Fax: 217-442-7460 | |
Madison Manint, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3545 N Vermilion St, Danville, IL 61832 Phone: 217-651-6801 | |
Ms. Randi D Jones, BA, MHP Counselor Medicare: Not Enrolled in Medicare Practice Location: 210 Avenue C, Danville, IL 61832 Phone: 217-442-3200 Fax: 217-442-7460 | |
Ms. Stephanie Jean Menold, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 210 Avenue C, Danville, IL 61832 Phone: 217-442-3200 Fax: 217-442-7460 |