Allied Counseling Group Llp | |
146 Gooding Street Lasalle IL 61301 | |
(815) 224-4522 | |
(815) 223-8055 |
Full Name | Allied Counseling Group Llp |
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Speciality | Counselor |
Location | 146 Gooding Street, Lasalle, Illinois |
Authorized Official Name and Position | Pamela Wolf (PARTNER OWNER) |
Authorized Official Contact | 8152244522 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Allied Counseling Group Llp 146 Gooding Street Lasalle IL 61301 Ph: (815) 224-4522 | Allied Counseling Group Llp 146 Gooding Street Lasalle IL 61301 Ph: (815) 224-4522 |
NPI Number | 1508910050 |
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Provider Enumeration Date | 01/22/2007 |
Last Update Date | 08/22/2020 |
Medicare PECOS PAC ID | 2466633318 |
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Medicare Enrollment ID | O20110224000666 |
Identifier | Type | State | Issuer |
---|---|---|---|
1508910050 | NPI | - | NPPES |
5021003 | Other | IL | BCBS |
Taxonomy | Type | License (State) | Status |
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101Y00000X | Counselor | (* (Not Available)) | Primary |
Provider Name | Ronald J Hall |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1053488916 PECOS PAC ID: 7719168665 Enrollment ID: I20110224000690 |
North Central Behavioral Health Systems, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2960 Chartres St., Lasalle, IL 61301 Phone: 815-223-0160 Fax: 815-223-1634 | |
North Central Behavioral Helath Systems, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2960 Chartres St., Lasalle, IL 61301 Phone: 815-223-0160 Fax: 815-223-1634 | |
North Central Behavioral Health Systems, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2960 Chartres St., Lasalle, IL 61301 Phone: 815-223-0160 Fax: 815-223-1634 |