Lakeithia Mercedes Butler, LCPC | |
7900 Cass Ave Ste 200, Darien, IL 60561-5073 | |
(630) 581-7134 | |
Not Available |
Full Name | Lakeithia Mercedes Butler |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 7900 Cass Ave Ste 200, Darien, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1376918805 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
101YP2500X | Counselor - Professional | 180012244 (Illinois) | Primary |
Entity Name | Edgewood Clinical Services P.c. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295914646 PECOS PAC ID: 3971963901 Enrollment ID: O20230721001228 |
Mailing Address | Practice Location Address |
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Lakeithia Mercedes Butler, LCPC 2822 W Jackson Blvd, Chicago, IL 60612-3653 Ph: (773) 827-1042 | Lakeithia Mercedes Butler, LCPC 7900 Cass Ave Ste 200, Darien, IL 60561-5073 Ph: (630) 581-7134 |
Mr. Arjun Lakshmipathi, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2628 83rd St, Darien, IL 60561 Phone: 630-246-6810 Fax: 630-246-6809 | |
Jennifer Russotiesi, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7900 Cass Ave, Darien, IL 60561 Phone: 630-884-8643 | |
Krystal Ransom, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7900 Cass Ave, Darien, IL 60561 Phone: 630-884-8643 | |
Ms. Damaria Quiana Bates, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 7900 Cass Ave, Darien, IL 60561 Phone: 630-428-7890 | |
Ms. Suzanne M Sullivan, LCPC CRC Counselor Medicare: Not Enrolled in Medicare Practice Location: 8582 South Highcrest Drive, Darien, IL 60561 Phone: 630-880-7700 Fax: 630-214-6004 | |
Mrs. Jennifer M Cross, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 7900 Cass Ave Ste 200, Darien, IL 60561 Phone: 630-884-8643 |