Marissa Ann Brown, LCPC | |
4211 N Prospect Rd, Peoria Heights, IL 61616-7754 | |
(309) 691-5502 | |
Not Available |
Full Name | Marissa Ann Brown |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 4211 N Prospect Rd, Peoria Heights, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1528841012 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 180.015496 (Illinois) | Primary |
Entity Name | Lisa Schwab, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194193235 PECOS PAC ID: 1850688557 Enrollment ID: O20160923000737 |
Mailing Address | Practice Location Address |
---|---|
Marissa Ann Brown, LCPC 4211 N Prospect Rd, Peoria Heights, IL 61616-7754 Ph: (309) 691-5502 | Marissa Ann Brown, LCPC 4211 N Prospect Rd, Peoria Heights, IL 61616-7754 Ph: (309) 691-5502 |
Ms. Lisa Marie Birdoes, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4617 N Prospect Rd, Suite 26, Peoria Heights, IL 61616 Phone: 309-682-1992 | |
Mr. Corey R. Hopson, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 712 E War Memorial Dr Ste D, Peoria Heights, IL 61616 Phone: 309-648-2541 Fax: 309-285-8785 | |
Lisa M Schwab, LCPC Counselor Medicare: Medicare Enrolled Practice Location: 4211 N Prospect Rd, Peoria Heights, IL 61616 Phone: 309-712-7996 | |
Mrs. Sandra Kay Chatwood, MA LMFT LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3709 N Atlantic Ave, Peoria Heights, IL 61616 Phone: 309-668-0025 Fax: 309-688-0073 | |
Stephanie K Weir, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4700 N Prospect Rd Ste A2d, Peoria Heights, IL 61616 Phone: 309-431-1526 | |
Kyle Pearson, LCPC, NCC, CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4211 N Prospect Rd, Peoria Heights, IL 61616 Phone: 309-691-5502 |