Lorisa Marie Eby, | |
304 W Mondamin St, Minooka, IL 60447-4617 | |
(224) 577-9203 | |
Not Available |
Full Name | Lorisa Marie Eby |
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Gender | Female |
Speciality | Counselor - Mental Health |
Location | 304 W Mondamin St, Minooka, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1720633787 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Entity Name | Seeds Of Hope Counseling Service Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346938164 PECOS PAC ID: 7911354022 Enrollment ID: O20231111000219 |
Mailing Address | Practice Location Address |
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Lorisa Marie Eby, Po Box 104, Minooka, IL 60447-0104 Ph: () - | Lorisa Marie Eby, 304 W Mondamin St, Minooka, IL 60447-4617 Ph: (224) 577-9203 |
Carrie Ann Skubic, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 113 W. Wapella St., Suite 2, Minooka, IL 60447 Phone: 814-467-9810 | |
Jessica Smith, Counselor Medicare: Not Enrolled in Medicare Practice Location: Evolve Therapeutic Services Center, 304 W. Mondamin St. #104, Minooka, IL 60447 Phone: 815-274-7308 | |
Cody Corradino, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 304 W Mondamin St Ste 104, Minooka, IL 60447 Phone: 708-465-1123 | |
Garilynn Winterbottom, PSYD Counselor Medicare: Not Enrolled in Medicare Practice Location: 604 Prairie View Dr, Minooka, IL 60447 Phone: 181-551-4041 | |
Ms. Samantha D Tyree, MA, LPC Counselor Medicare: Medicare Enrolled Practice Location: 109 White Ln, Apt 1, Minooka, IL 60447 Phone: 815-955-9068 | |
Ms. Monica Lee Jasper, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 304 W Mondamin St Ste 104, Minooka, IL 60447 Phone: 815-274-7308 | |
Mrs. Gina M Abbeduto, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 314 N. Osceola, Minooka, IL 60447 Phone: 815-521-9496 Fax: 815-521-9496 |