Mr Robert John Mooney, LPC MA | |
1423 Valle Vista, Pekin, IL 61554 | |
(309) 347-1148 | |
(309) 347-1298 |
Full Name | Mr Robert John Mooney |
---|---|
Gender | Male |
Speciality | Counselor - Mental Health |
Location | 1423 Valle Vista, Pekin, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013975648 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (Illinois) | Primary |
Entity Name | Tazwood Mental Health Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083671127 PECOS PAC ID: 1850291741 Enrollment ID: O20040108000963 |
Entity Name | Human Service Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881630689 PECOS PAC ID: 6901896968 Enrollment ID: O20040513000449 |
Mailing Address | Practice Location Address |
---|---|
Mr Robert John Mooney, LPC MA 1423 Valle Vista, Pekin, IL 61554 Ph: (309) 347-1148 | Mr Robert John Mooney, LPC MA 1423 Valle Vista, Pekin, IL 61554 Ph: (309) 347-1148 |
Mrs. Renee R Lawson, RSA DSP CNA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1423 Valle Vista, Pekin, IL 61554 Phone: 309-347-4280 | |
Stacie Billingsley, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2205 State St, Pekin, IL 61554 Phone: 309-648-0782 | |
Mr. Patrick Timothy Hayes, B.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 3248 Vandever Ave, Pekin, IL 61554 Phone: 309-347-5579 Fax: 309-347-4264 | |
Joan Wenzel, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3249 Barney Ave, Pekin, IL 61554 Phone: 309-347-5522 Fax: 309-347-7302 | |
Patrick Durkin, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3248 Vandever Ave, Pekin, IL 61554 Phone: 309-347-5579 Fax: 309-347-4264 | |
Gelana L Mccloud, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 333 Margaret St, Pekin, IL 61554 Phone: 309-407-7771 Fax: 309-620-8623 |