Taylor Ewing, MA, NCC, LCPC | |
755 Almar Pkwy, Bourbonnais, IL 60914-2392 | |
(779) 229-6581 | |
Not Available |
Full Name | Taylor Ewing |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 755 Almar Pkwy, Bourbonnais, 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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1538815675 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 178.017662 (Illinois) | Secondary |
101YP2500X | Counselor - Professional | 180.016013 (Illinois) | Primary |
Entity Name | Edgewood Clinical Services P.c. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295914646 PECOS PAC ID: 3971963901 Enrollment ID: O20230721001228 |
Mailing Address | Practice Location Address |
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Taylor Ewing, MA, NCC, LCPC 625 N 10th Ave, Kankakee, IL 60901-2910 Ph: (815) 549-6144 | Taylor Ewing, MA, NCC, LCPC 755 Almar Pkwy, Bourbonnais, IL 60914-2392 Ph: (779) 229-6581 |
Megan K Bucklin, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 197 W. Harrison Street, Suite 2, Bourbonnais, IL 60914 Phone: 815-935-5540 Fax: 815-935-5459 | |
Ms. Daphne Lynn Bogenschneider, LCPC, LSOTP, LSOE Counselor Medicare: Not Enrolled in Medicare Practice Location: 183 E Bethel Dr, Keystone Counseling, Bourbonnais, IL 60914 Phone: 815-939-1900 Fax: 815-939-1902 | |
Ms. Sheryl Ann Palinski, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 407 S Main St, Bourbonnais, IL 60914 Phone: 815-939-1912 Fax: 815-936-9666 | |
Ms. Toni Vanessa Sutton, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 500 Brown Blvd, Bourbonnais, IL 60914 Phone: 815-214-9766 | |
Kristina Marie Billadeau, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1137 E 5000n Rd, Bourbonnais, IL 60914 Phone: 815-216-9025 | |
Mrs. Joy Ann Weber, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 700 Revere St, Bourbonnais, IL 60914 Phone: 815-936-6266 Fax: 815-936-7606 | |
Thomas Showers, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 19 Heritage Dr Ste 208, Bourbonnais, IL 60914 Phone: 708-265-7809 |