Mary R Harris, MA, LCPC, NCC | |
606 W Adams St, Pittsfield, IL 62363-1308 | |
(217) 285-9601 | |
Not Available |
Full Name | Mary R Harris |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 606 W Adams St, Pittsfield, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1811178072 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 180005830 (Illinois) | Primary |
Entity Name | Blessing Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1255515342 PECOS PAC ID: 3072422534 Enrollment ID: O20040330001155 |
Entity Name | Blessing Hospital |
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Entity Type | Part B Supplier - Hospital Department(s) |
Entity Identifiers | NPI Number: 1114471737 PECOS PAC ID: 3072422534 Enrollment ID: O20161005001836 |
Mailing Address | Practice Location Address |
---|---|
Mary R Harris, MA, LCPC, NCC 1025 Maine St, Quincy, IL 62301-4038 Ph: (217) 222-6550 | Mary R Harris, MA, LCPC, NCC 606 W Adams St, Pittsfield, IL 62363-1308 Ph: (217) 285-9601 |
Mrs. Marsha Dejaynes, Counselor Medicare: Not Enrolled in Medicare Practice Location: 121 S Madison St, Pittsfield, IL 62363 Phone: 217-285-4436 Fax: 217-285-2804 | |
Mary Kathleen Wilson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 121 South Madison Street, Mental Health Centers Of Western Illinois, Pittsfield, IL 62363 Phone: 217-285-4436 Fax: 217-285-2804 | |
Rosalind Anstedt, Counselor Medicare: Not Enrolled in Medicare Practice Location: 121 S Madison St, Pittsfield, IL 62363 Phone: 217-773-3325 Fax: 217-773-2425 | |
Shanna Tharp, Counselor Medicare: Not Enrolled in Medicare Practice Location: 120 N Williams Industrial Dr, Pittsfield, IL 62363 Phone: 217-285-4436 | |
Beverly Lindsay, Counselor Medicare: Not Enrolled in Medicare Practice Location: 121 S Madison St, Pittsfield, IL 62363 Phone: 217-285-4436 Fax: 217-285-2804 | |
Eden Ryan, Counselor Medicare: Not Enrolled in Medicare Practice Location: 120 N Williams Industrial Dr, Pittsfield, IL 62363 Phone: 217-285-4436 Fax: 217-285-2804 | |
Tiffany Henry, Counselor Medicare: Not Enrolled in Medicare Practice Location: 120 N Williams Industrial Dr, Pittsfield, IL 62363 Phone: 217-285-4436 Fax: 217-285-2804 |