Juanette M Plato, | |
1745 E Clay St, Decatur, IL 62521-3032 | |
(305) 902-6347 | |
(515) 266-6808 |
Full Name | Juanette M Plato |
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Gender | Female |
Speciality | Counselor - Mental Health |
Location | 1745 E Clay St, Decatur, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1568930725 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | T18059 (Iowa) | Secondary |
101YM0800X | Counselor - Mental Health | 180014671 (Illinois) | Primary |
Entity Name | Brave Health Medical Group, P.a |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225669161 PECOS PAC ID: 9537586052 Enrollment ID: O20210129001373 |
Mailing Address | Practice Location Address |
---|---|
Juanette M Plato, 1168 13th Street, Des Moines, IA 50314 Ph: (515) 601-6547 | Juanette M Plato, 1745 E Clay St, Decatur, IL 62521-3032 Ph: (305) 902-6347 |
Carrie A Ray, Counselor Medicare: Medicare Enrolled Practice Location: 151 N Main St, Decatur, IL 62523 Phone: 217-362-6262 | |
Robert Lesley Goodwin, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 320 E Central Ave, Decatur, IL 62521 Phone: 217-877-9117 | |
Ms. Linda L Warden-michl, MA, NCC, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 132 S Water St, Suite 630, Decatur, IL 62523 Phone: 217-330-6963 | |
Michelle Hanson, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 151 N Main St, Decatur, IL 62523 Phone: 217-362-6262 Fax: 217-362-6290 | |
Lesa J Mcmahon-lowe, LPC Counselor Medicare: Medicare Enrolled Practice Location: 151 N Main St, Decatur, IL 62523 Phone: 217-420-4776 Fax: 217-362-6259 | |
Marilyn Stevens, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 363 S Main St, Suite 220, Decatur, IL 62523 Phone: 217-638-5545 Fax: 217-424-1633 | |
Kelly Thurston, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 151 N Main St, Decatur, IL 62523 Phone: 217-362-6262 Fax: 217-362-6290 |