Ms Pamela Jo Elliott, LCPC NCC | |
706 Oglesby Ave Ste 300, Normal, IL 61761-4616 | |
(309) 212-3606 | |
(312) 789-4373 |
Full Name | Ms Pamela Jo Elliott |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 706 Oglesby Ave Ste 300, Normal, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1841200904 | NPI | - | NPPES |
22902 | Other | NBCC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 180004957 (Illinois) | Secondary |
101YP2500X | Counselor - Professional | 180004957 (Illinois) | Primary |
Entity Name | Elliott Counseling Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396067559 PECOS PAC ID: 2264709690 Enrollment ID: O20170606001451 |
Mailing Address | Practice Location Address |
---|---|
Ms Pamela Jo Elliott, LCPC NCC 706 Oglesby Ave Ste 300, Normal, IL 61761-4616 Ph: (309) 212-2496 | Ms Pamela Jo Elliott, LCPC NCC 706 Oglesby Ave Ste 300, Normal, IL 61761-4616 Ph: (309) 212-3606 |
Carrie P Bussmann, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 706 Oglesby Ave, Ste 112, Normal, IL 61761 Phone: 309-585-0241 | |
Christopher Cashen, L.C.P.C. Counselor Medicare: Medicare Enrolled Practice Location: 405 Kays Dr Ste C, Normal, IL 61761 Phone: 309-664-3130 Fax: 309-664-3528 | |
Ayrielle Ehlers, Counselor Medicare: Not Enrolled in Medicare Practice Location: 405 Kays Dr, Normal, IL 61761 Phone: 309-822-2725 | |
Gregory Jenkins, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 101 Northfield Dr Apt J3, Normal, IL 61761 Phone: 309-660-7635 | |
Alondra Eradnsa Faudoa, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 706 Oglesby Ave Ste 300, Normal, IL 61761 Phone: 309-212-3606 | |
Theresa Vaccariello Lawrence, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 612 Oglesby Ave, Normal, IL 61761 Phone: 309-557-1124 | |
Alya Abbed, MA, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 706 Oglesby Ave Ste 114a, Normal, IL 61761 Phone: 309-807-8669 |