Lindsey Nicole Wagner, LCPC | |
922 1005n Ave, Mt Sterling, IL 62353-4406 | |
(217) 637-4035 | |
(217) 637-4035 |
Full Name | Lindsey Nicole Wagner |
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Gender | Female |
Speciality | Counselor - Mental Health |
Location | 922 1005n Ave, Mt Sterling, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1871713602 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 180011616 (Illinois) | Primary |
Entity Name | Grow Healthcare Group Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20220414000139 |
Mailing Address | Practice Location Address |
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Lindsey Nicole Wagner, LCPC 922 1005n Ave, Mt Sterling, IL 62353-4406 Ph: (217) 637-4035 | Lindsey Nicole Wagner, LCPC 922 1005n Ave, Mt Sterling, IL 62353-4406 Ph: (217) 637-4035 |
Michael L Jersey, Counselor Medicare: Not Enrolled in Medicare Practice Location: 700 Se Cross, Mental Health Centers Of Western Illinois, Mt Sterling, IL 62353 Phone: 217-773-3325 Fax: 217-773-2425 | |
Beth Stephens, Counselor Medicare: Not Enrolled in Medicare Practice Location: 700 Se Cross, Mental Health Centers Of Western Illinois, Mt Sterling, IL 62353 Phone: 217-773-3325 Fax: 217-773-2425 | |
Katherine J. Wilson, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 700 Se Cross St, Mt Sterling, IL 62353 Phone: 217-773-3325 Fax: 217-773-2425 | |
Sean Eifert, Counselor Medicare: Not Enrolled in Medicare Practice Location: 700 Se Cross, Mental Health Centers Of Western Illinois, Mt Sterling, IL 62353 Phone: 217-773-3325 Fax: 217-773-2425 | |
Katherine Mchugh, Counselor Medicare: Not Enrolled in Medicare Practice Location: 700 Se Cross St, Mt Sterling, IL 62353 Phone: 217-773-3325 | |
Roxie Oliver, Counselor Medicare: Not Enrolled in Medicare Practice Location: 700 Se Cross, Mental Health Centers Of Western Illinois, Mt Sterling, IL 62353 Phone: 217-773-3325 Fax: 217-773-2425 |