Stacey Samantha Soliman Juilfs, LPC | |
639 York St Rm 212, Quincy, IL 62301-3919 | |
(217) 222-6271 | |
Not Available |
Full Name | Stacey Samantha Soliman Juilfs |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 639 York St Rm 212, Quincy, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1003342783 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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101YP2500X | Counselor - Professional | 2016040022 (Missouri) | Primary |
Entity Name | Preferred Family Healthcare, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649474206 PECOS PAC ID: 0244256246 Enrollment ID: O20051019000599 |
Mailing Address | Practice Location Address |
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Stacey Samantha Soliman Juilfs, LPC 1601 Old South River Rd, Saint Charles, MO 63303-4120 Ph: (636) 224-1210 | Stacey Samantha Soliman Juilfs, LPC 639 York St Rm 212, Quincy, IL 62301-3919 Ph: (217) 222-6271 |
Mrs. Anne-claire Marie Vahle, MSED Counselor Medicare: Not Enrolled in Medicare Practice Location: 205 S 24th St, Quincy, IL 62301 Phone: 217-222-0034 Fax: 217-222-3865 | |
Janis Lynn Frageman, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 4409 Maine, Quincy, IL 62305 Phone: 217-223-0423 Fax: 217-223-0461 | |
Nicole Antoinette Shields, MS, LCPC, QMHP Counselor Medicare: Medicare Enrolled Practice Location: 1025 Maine St, Quincy, IL 62301 Phone: 217-222-6550 | |
Kathleen Jean Nelson, M.S. ED. Counselor Medicare: Medicare Enrolled Practice Location: 1025 Maine St, Quincy, IL 62301 Phone: 217-222-6550 Fax: 217-277-2253 | |
Martinette Z Douglas, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2931 Payson Hts Apt Suite, Quincy, IL 62305 Phone: 773-669-8168 | |
Heidi Muegge, BS, MHP Counselor Medicare: Not Enrolled in Medicare Practice Location: 4409 Maine St, Quincy, IL 62305 Phone: 217-223-0423 Fax: 217-223-0461 |