Lauren Elizabeth Holt, LCPC | |
2428 Chartres St, La Salle, IL 61301-1107 | |
(309) 830-1096 | |
Not Available |
Full Name | Lauren Elizabeth Holt |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 2428 Chartres St, La Salle, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1174027148 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 180.008053 (Illinois) | Primary |
Entity Name | Life Balance Counseling And Wellness Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912409681 PECOS PAC ID: 8325397904 Enrollment ID: O20180814004194 |
Mailing Address | Practice Location Address |
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Lauren Elizabeth Holt, LCPC 2428 Chartres St, La Salle, IL 61301-1107 Ph: (309) 830-1096 | Lauren Elizabeth Holt, LCPC 2428 Chartres St, La Salle, IL 61301-1107 Ph: (309) 830-1096 |
Walter Fasken, Counselor Medicare: Not Enrolled in Medicare Practice Location: 111 Bucklin St Ste 1, La Salle, IL 61301 Phone: 815-780-0690 | |
Kim Goodhand, Counselor Medicare: Not Enrolled in Medicare Practice Location: 111 Bucklin St Ste 1, La Salle, IL 61301 Phone: 815-780-0690 | |
Mary E Zelenski, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 542 Crosat St, La Salle, IL 61301 Phone: 815-223-4007 Fax: 815-224-4550 | |
Ms. Pamela F Wolf, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 146 Gooding Street, La Salle, IL 61301 Phone: 815-224-4522 Fax: 815-223-8055 | |
Ms. Patricia Alina Pelaez, CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 111 Bucklin St Ste 1, La Salle, IL 61301 Phone: 815-780-0690 Fax: 815-410-1937 | |
Ms. Shelly D Punke, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2960 Chartres St, La Salle, IL 61301 Phone: 815-224-1610 Fax: 815-223-1634 |