Mrs Tyler D Thurman, LCPC | |
6000 Bond Ave, Centreville, IL 62207-2328 | |
(618) 332-2083 | |
(618) 337-6039 |
Full Name | Mrs Tyler D Thurman |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 6000 Bond Ave, Centreville, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053587279 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 180-005914 (Illinois) | Primary |
Entity Name | Southern Illinois Healthcare Foundation, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013198712 PECOS PAC ID: 1456256874 Enrollment ID: O20031126000641 |
Mailing Address | Practice Location Address |
---|---|
Mrs Tyler D Thurman, LCPC 6000 Bond Ave, Centreville, IL 62207-2328 Ph: (618) 332-2083 | Mrs Tyler D Thurman, LCPC 6000 Bond Ave, Centreville, IL 62207-2328 Ph: (618) 332-2083 |
Natasha Renee Patterson, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6598 Bond Ave, Centreville, IL 62207 Phone: 314-599-0936 | |
Ms. Christina M Ochoa, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 353 N 88th St, Highway 157, Centreville, IL 62203 Phone: 618-398-1152 Fax: 618-398-6977 | |
Ms. Justine Ann Livesay, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 353 N 88th St, Highway 157, Centreville, IL 62203 Phone: 618-398-1152 Fax: 618-398-6977 | |
Laura Anne Lengyel, MA, LCPC, ATR-BC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5900 Bond Ave, Centreville, IL 62207 Phone: 618-332-5351 | |
Kiarra Charles, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2 Pearl Ct, Centreville, IL 62207 Phone: 618-570-7406 |