Ms Denise L King, LCPC | |
2323 Windish Dr, Galesburg, IL 61401-9780 | |
(309) 344-4362 | |
(309) 344-4281 |
Full Name | Ms Denise L King |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 2323 Windish Dr, Galesburg, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1821145210 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 180-000277 (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 |
---|---|
Ms Denise L King, LCPC 2323 Windish Dr, Galesburg, IL 61401-9780 Ph: (309) 344-4362 | Ms Denise L King, LCPC 2323 Windish Dr, Galesburg, IL 61401-9780 Ph: (309) 344-4362 |
Bailee Shepherd, LCP Counselor Medicare: Not Enrolled in Medicare Practice Location: 2323 Windish Dr, Galesburg, IL 61401 Phone: 309-344-2323 | |
Cheryl Majeske, MHP Counselor Medicare: Not Enrolled in Medicare Practice Location: 2323 Windish Dr, Galesburg, IL 61401 Phone: 309-344-2323 Fax: 309-344-4281 | |
Julie Schrader, MA Counselor Medicare: Medicare Enrolled Practice Location: 575 N Kellogg St, Suite 4, Galesburg, IL 61401 Phone: 309-343-0800 | |
Julie Safranek, MHP Counselor Medicare: Not Enrolled in Medicare Practice Location: 2323 Windish Dr, Galesburg, IL 61401 Phone: 309-344-2323 Fax: 309-344-4281 | |
Brenda Harrell, MHP Counselor Medicare: Not Enrolled in Medicare Practice Location: 2323 Windish Dr, Galesburg, IL 61401 Phone: 309-344-2323 Fax: 309-344-4281 | |
Kristin Spiegel, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2323 Windish Dr, Galesburg, IL 61401 Phone: 309-344-2323 Fax: 309-344-4281 | |
Gregory W Sall, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 2323 Windish Dr, Galesburg, IL 61401 Phone: 309-344-2323 Fax: 309-344-4281 |