Ms Lisa Marie Koegler, MS,LCPC | |
403 Municipal Dr, Carterville, IL 62918-2042 | |
(855) 608-3560 | |
(618) 956-9349 |
Full Name | Ms Lisa Marie Koegler |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 403 Municipal Dr, Carterville, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013233659 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 180.04897 (Illinois) | Primary |
Entity Name | Centerstone Of Illinois Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053455667 PECOS PAC ID: 2961545173 Enrollment ID: O20100209000763 |
Mailing Address | Practice Location Address |
---|---|
Ms Lisa Marie Koegler, MS,LCPC 902 W Main St, West Frankfort, IL 62896-2210 Ph: (618) 937-6483 | Ms Lisa Marie Koegler, MS,LCPC 403 Municipal Dr, Carterville, IL 62918-2042 Ph: (855) 608-3560 |
Cheryl Muckley, Counselor Medicare: Not Enrolled in Medicare Practice Location: 403 Municipal Dr, Carterville, IL 62918 Phone: 855-608-3561 Fax: 618-956-9349 | |
Bridgett Holder, MSW, MHP Counselor Medicare: Not Enrolled in Medicare Practice Location: 403 Municipal Dr, Carterville, IL 62918 Phone: 855-608-3560 | |
Tamara Samples, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 403 Municipal Dr, Carterville, IL 62918 Phone: 855-608-3560 Fax: 618-956-9349 | |
Erich Pilz, Counselor Medicare: Not Enrolled in Medicare Practice Location: 403 Municipal Dr, Carterville, IL 62918 Phone: 855-608-3560 Fax: 618-956-9349 | |
Marah Willmore, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 403 Municipal Dr, Carterville, IL 62918 Phone: 855-608-3560 Fax: 618-956-9349 | |
Victoria Mayo, Counselor Medicare: Not Enrolled in Medicare Practice Location: 403 Municipal Dr, Carterville, IL 62918 Phone: 855-608-3560 Fax: 618-956-9349 |