Leida A Woodham, LPC | |
1845 Grandstand Pl, Elgin, IL 60123-6603 | |
(847) 695-0484 | |
Not Available |
Full Name | Leida A Woodham |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 1845 Grandstand Pl, Elgin, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1437693736 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 178.011789 (Illinois) | Primary |
Entity Name | Affective Counseling Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1811400187 PECOS PAC ID: 5991158347 Enrollment ID: O20240201001402 |
Mailing Address | Practice Location Address |
---|---|
Leida A Woodham, LPC 4355 Schofield Dr, Oswego, IL 60543-8174 Ph: (708) 536-8605 | Leida A Woodham, LPC 1845 Grandstand Pl, Elgin, IL 60123-6603 Ph: (847) 695-0484 |
Dr. Anthony Dillard Sr., NCRS Counselor Medicare: Not Enrolled in Medicare Practice Location: 995 Bode Rd, Elgin, IL 60120 Phone: 224-238-3279 Fax: 224-238-3279 | |
Nicholas Preston Barry, LSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 411 W River Rd, Elgin, IL 60123 Phone: 224-347-4011 | |
Melissa Horne, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1845 Grandstand Pl, Elgin, IL 60123 Phone: 847-695-0484 | |
Bethany Ann Henrichs, Counselor Medicare: Not Enrolled in Medicare Practice Location: 695 S State St, Elgin, IL 60123 Phone: 847-931-6200 | |
Eliza K Adams, MS Counselor Medicare: Medicare Enrolled Practice Location: 107 Stonehurst Dr, Elgin, IL 60120 Phone: 847-521-2829 | |
Katrin Schlicht, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1845 Grandstand Pl, Elgin, IL 60123 Phone: 847-695-0484 | |
Voichita Moldovan Moldovan, Counselor Medicare: Not Enrolled in Medicare Practice Location: 164 Division St Ste 607, Elgin, IL 60120 Phone: 847-217-9797 |