Mary J Mann, LMHC | |
900 E 162nd St Ste 207, South Holland, IL 60473-2476 | |
(708) 225-1237 | |
Not Available |
Full Name | Mary J Mann |
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Gender | Female |
Speciality | Counselor - Mental Health |
Location | 900 E 162nd St Ste 207, South Holland, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1912183898 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 180.005870 (Illinois) | Secondary |
101YM0800X | Counselor - Mental Health | 39004048A (Indiana) | Primary |
Entity Name | Community Health Network Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336119478 PECOS PAC ID: 1850203977 Enrollment ID: O20031105000554 |
Mailing Address | Practice Location Address |
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Mary J Mann, LMHC 6626 E 75th St Ste 500, Indianapolis, IN 46250-2890 Ph: () - | Mary J Mann, LMHC 900 E 162nd St Ste 207, South Holland, IL 60473-2476 Ph: (708) 225-1237 |
Robert E Smith, Counselor Medicare: Not Enrolled in Medicare Practice Location: 16278 Prince Dr, South Holland, IL 60473 Phone: 708-754-8815 | |
Mr. Howard Julian Henry, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 900 E 162nd St, Suite 207, South Holland, IL 60473 Phone: 708-225-1237 Fax: 708-225-1338 | |
Mrs. Ashley Elizabeth Anderson, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 401 E 162nd St Ste 209, Heritage Center: Refuge Christian Counseling, South Holland, IL 60473 Phone: 708-339-2769 Fax: 708-339-6776 | |
Ms. Sherrice A Hoffman, Counselor Medicare: Not Enrolled in Medicare Practice Location: 401 E 162nd St, South Holland, IL 60473 Phone: 773-819-5504 | |
Janiese Myesha Asque, Counselor Medicare: Not Enrolled in Medicare Practice Location: 16519 Ellis Ave, South Holland, IL 60473 Phone: 312-599-3436 | |
Antoinette Allen, Counselor Medicare: Not Enrolled in Medicare Practice Location: 17051 Louis Ave, South Holland, IL 60473 Phone: 708-609-0124 | |
Anthony Olujimi, CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 15475 S Park Ave Ste 109, South Holland, IL 60473 Phone: 708-596-5680 Fax: 708-596-5687 |