Mrs Melanie Elizabeth Long, | |
5n147 Oak Leaf Ct, St Charles, IL 60174 | |
(563) 219-5308 | |
Not Available |
Full Name | Mrs Melanie Elizabeth Long |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 5n147 Oak Leaf Ct, St Charles, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1427579952 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Entity Name | Kenneth Young Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629083241 PECOS PAC ID: 7416940655 Enrollment ID: O20041109000272 |
Mailing Address | Practice Location Address |
---|---|
Mrs Melanie Elizabeth Long, 5n147 Oak Leaf Ct, St Charles, IL 60174-4926 Ph: (563) 219-5308 | Mrs Melanie Elizabeth Long, 5n147 Oak Leaf Ct, St Charles, IL 60174 Ph: (563) 219-5308 |
Lauren Smith, Counselor Medicare: Not Enrolled in Medicare Practice Location: 41w400 Silver Glen Rd, St Charles, IL 60175 Phone: 855-740-1921 | |
Cassandra Furbur, Counselor Medicare: Not Enrolled in Medicare Practice Location: 527 Illinois Ave, St Charles, IL 60174 Phone: 630-549-6245 | |
Dr. Christine R. Hibbard, ED.D, L.C.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 1121 E Main St, Suite 320, St Charles, IL 60174 Phone: 630-584-0642 Fax: 630-365-2478 | |
Kyle James Smith, LCPC, NCC Counselor Medicare: Medicare Enrolled Practice Location: 1120 E Main St, Suite 201, St Charles, IL 60174 Phone: 630-377-6613 Fax: 630-377-6225 | |
Ms. Edith Wirtz, Counselor Medicare: Not Enrolled in Medicare Practice Location: 111 E Main St, St Charles, IL 60174 Phone: 630-587-3777 | |
Dr. David J. Norton, PH.D. Counselor Medicare: Medicare Enrolled Practice Location: 1120 E Main St, St Charles, St Charles, IL 60174 Phone: 630-377-6613 Fax: 630-377-6225 | |
Ms. Samantha Anne Miemczewski, LCPC Counselor Medicare: Medicare Enrolled Practice Location: 3805 E Main St Ste M, St Charles, IL 60174 Phone: 630-305-5118 |