Ms Shelly Lee Hawk, is a
Counselor - Mental Health based in Aledo, Illinois. Ms Shelly Lee Hawk is licensed to practice in Illinois (license number 180.013203) and her current practice location is
1691 30th Ave, Aledo, Illinois. She can be reached at her office (for appointments etc.) via phone at
(309) 586-4121.
NPI number for Ms Shelly Lee Hawk is 1730397936 and her current mailing address is 1691 30th Ave, Aledo, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1730397936.
Healthcare Provider's Profile
Full Name | Ms Shelly Lee Hawk |
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Gender | Female |
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Speciality | Counselor - Mental Health |
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Location | 1691 30th Ave, Aledo, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1730397936
- Provider Enumeration Date: 05/19/2007
- Last Update Date: 10/24/2024
Medical Identifiers
Medical identifiers for Ms Shelly Lee Hawk such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1730397936 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YP2500X | Counselor - Professional | 180.013203 (Illinois) | Secondary |
222Q00000X | Developmental Therapist | (* (Not Available)) | Secondary |
101YM0800X | Counselor - Mental Health | 180.013203 (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Shelly Lee Hawk is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Ms Shelly Lee Hawk, 1691 30th Ave, Aledo, IL 61231-8645 Ph: (309) 224-4024 | Ms Shelly Lee Hawk, 1691 30th Ave, Aledo, IL 61231-8645 Ph: (309) 586-4121 |
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