Stacy Brown, LCPC | |
2323 Windish Drive, Galesburg, IL 61401 | |
(309) 344-4265 | |
(309) 344-4281 |
Full Name | Stacy Brown |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 2323 Windish Drive, Galesburg, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1265976385 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 180010313 (Illinois) | Primary |
Entity Name | Bridgeway Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851315535 PECOS PAC ID: 4284627530 Enrollment ID: O20050126000609 |
Mailing Address | Practice Location Address |
---|---|
Stacy Brown, LCPC 2323 Windish Dr, Galesburg, IL 61401-9780 Ph: (309) 344-4265 | Stacy Brown, LCPC 2323 Windish Drive, Galesburg, IL 61401 Ph: (309) 344-4265 |
Bailee Shepherd, LCP Counselor Medicare: Not Enrolled in Medicare Practice Location: 2323 Windish Dr, Galesburg, IL 61401 Phone: 309-344-2323 | |
Cheryl Majeske, MHP Counselor Medicare: Not Enrolled in Medicare Practice Location: 2323 Windish Dr, Galesburg, IL 61401 Phone: 309-344-2323 Fax: 309-344-4281 | |
Julie Schrader, MA Counselor Medicare: Medicare Enrolled Practice Location: 575 N Kellogg St, Suite 4, Galesburg, IL 61401 Phone: 309-343-0800 | |
Julie Safranek, MHP Counselor Medicare: Not Enrolled in Medicare Practice Location: 2323 Windish Dr, Galesburg, IL 61401 Phone: 309-344-2323 Fax: 309-344-4281 | |
Brenda Harrell, MHP Counselor Medicare: Not Enrolled in Medicare Practice Location: 2323 Windish Dr, Galesburg, IL 61401 Phone: 309-344-2323 Fax: 309-344-4281 | |
Kristin Spiegel, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2323 Windish Dr, Galesburg, IL 61401 Phone: 309-344-2323 Fax: 309-344-4281 | |
Gregory W Sall, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 2323 Windish Dr, Galesburg, IL 61401 Phone: 309-344-2323 Fax: 309-344-4281 |