Mr Chad Thomas Welch, | |
4509 N Illinois St Ste 5, Swansea, IL 62226-1524 | |
(314) 884-1947 | |
(314) 408-2355 |
Full Name | Mr Chad Thomas Welch |
---|---|
Gender | Male |
Speciality | Counselor - Professional |
Location | 4509 N Illinois St Ste 5, Swansea, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1861869620 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 178.011128 (Illinois) | Secondary |
101YP2500X | Counselor - Professional | 180010931 (Illinois) | Primary |
Entity Name | Chad Welch Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851046270 PECOS PAC ID: 9032557087 Enrollment ID: O20240410000055 |
Mailing Address | Practice Location Address |
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Mr Chad Thomas Welch, 4254 Bassen Dr, Swansea, IL 62226-7910 Ph: (618) 558-0671 | Mr Chad Thomas Welch, 4509 N Illinois St Ste 5, Swansea, IL 62226-1524 Ph: (314) 884-1947 |
Ms. Karen Sue Palmer, M.S., L.C.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 6 Emerald Ter Ste 4, Swansea, IL 62226 Phone: 618-233-0500 Fax: 618-233-7935 | |
Mrs. Antonette Marie Green, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2 Bronze Pointe S Ste A, Swansea, IL 62226 Phone: 618-207-2547 | |
Michelle A Rhodes, MSW, LCSW Counselor Medicare: Medicare Enrolled Practice Location: 4460 N Illinois St Ste 1, Swansea, IL 62226 Phone: 949-307-6142 | |
Rockael Mays, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4972 Benchmark Centre Dr Ste 100, Swansea, IL 62226 Phone: 618-494-3064 | |
Alicia Wiley, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2 Bronze Pointe S, Swansea, IL 62226 Phone: 618-207-2547 | |
Kiesha Ford, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6 Emerald Ter Ste 4, Swansea, IL 62226 Phone: 618-516-3338 | |
Mrs. Marjorie Kaye Garcia, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 4509 N Illinois St Ste 5, Swansea, IL 62226 Phone: 314-399-8351 |