Ms Gaia Cosgrove Mcvey, LCPC | |
1220 S Park Ave, Herrin, IL 62948-4128 | |
(618) 988-1757 | |
(618) 988-1700 |
Full Name | Ms Gaia Cosgrove Mcvey |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 1220 S Park Ave, Herrin, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1740476910 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (Illinois) | Primary |
Entity Name | Shawnee Health Service And Development Corp |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639295314 PECOS PAC ID: 1658285671 Enrollment ID: O20031120000454 |
Mailing Address | Practice Location Address |
---|---|
Ms Gaia Cosgrove Mcvey, LCPC 1220 S Park Ave, D, Herrin, IL 62948-4128 Ph: (618) 988-1757 | Ms Gaia Cosgrove Mcvey, LCPC 1220 S Park Ave, Herrin, IL 62948-4128 Ph: (618) 988-1757 |
Travis Dobrey, Counselor Medicare: Not Enrolled in Medicare Practice Location: 101 Chittyville Rd, Herrin, IL 62948 Phone: 618-706-9600 Fax: 618-706-2140 | |
Mr. Daniel Leslie Marsh, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1220 S Park Ave, Herrin, IL 62948 Phone: 618-988-1757 Fax: 618-988-1700 | |
Stephanie R Gustave, LPC, AMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 109 Lou Ann Dr, Herrin, IL 62948 Phone: 618-988-1330 Fax: 618-988-8321 | |
Kristi Sierzega, LCSW, CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 317 S 14th St Ste 1, Herrin, IL 62948 Phone: 618-988-6171 | |
Adam Pearson, L.C.P.C Counselor Medicare: Medicare Enrolled Practice Location: 201 S 14th St, Herrin, IL 62948 Phone: 618-942-2171 Fax: 618-351-4917 | |
Mrs. Debbie Gilbert Mitchell, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1220 S Park Ave, D, Herrin, IL 62948 Phone: 618-988-1757 |