Paula L Lawrence, CRC, LCPC, CADC | |
303 S Main St, Troy, IL 62294-1808 | |
(618) 505-0784 | |
(618) 505-0785 |
Full Name | Paula L Lawrence |
---|---|
Gender | Female |
Speciality | Counselor - Addiction (substance Use Disorder) |
Location | 303 S Main St, Troy, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1154695047 | NPI | - | NPPES |
00275446 | Other | IL | COMMISSION ON REHABILITATION COUNSELOR CERTIFICATION |
271000235 | Other | IL | STATE LICENSE |
180012544 | Other | IL | STATE LICENSE |
272000224 | Other | IL | STATE LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | 180012544 (Illinois) | Primary |
225C00000X | Rehabilitation Counselor | 00275446 (Illinois) | Secondary |
Entity Name | Grow Healthcare Group Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20220414000139 |
Mailing Address | Practice Location Address |
---|---|
Paula L Lawrence, CRC, LCPC, CADC 303 S Main St, Troy, IL 62294-1808 Ph: (618) 505-0784 | Paula L Lawrence, CRC, LCPC, CADC 303 S Main St, Troy, IL 62294-1808 Ph: (618) 505-0784 |
Jennifer Wildhaber, ATR LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 189 E Us Highway 40 Ste D, Troy, IL 62294 Phone: 618-979-2336 Fax: 618-505-5044 | |
William Lee Bishop, L.C.S.W. Counselor Medicare: Not Enrolled in Medicare Practice Location: 132 Taylor Lake Dr, Troy, IL 62294 Phone: 618-314-0172 | |
Ashlynn Kaye Pinney, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1008 Troy Ofallon Rd, Troy, IL 62294 Phone: 618-972-1568 Fax: 618-205-3561 | |
Gena Haile, Counselor Medicare: Not Enrolled in Medicare Practice Location: 303 S Main St, Troy, IL 62294 Phone: 618-505-0784 Fax: 618-505-0785 | |
Mary Delaney Sutherd, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 303 S Main St, Troy, IL 62294 Phone: 618-505-0784 | |
Luke Allan, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 535 Edwardsville Rd Ste 130, Troy, IL 62294 Phone: 618-816-5050 Fax: 844-927-4603 |