| Anxiety And Stress Center, P.c. | |
|
18161 Morris Ave Suite 102 Homewood IL 60430-2108 | |
| (708) 349-5433 | |
| (708) 349-5434 |
| Full Name | Anxiety And Stress Center, P.c. |
|---|---|
| Speciality | Psychologist |
| Location | 18161 Morris Ave, Homewood, Illinois |
| Authorized Official Name and Position | Holly Ouida Houston (OWNER) |
| Authorized Official Contact | 7083495433 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Anxiety And Stress Center, P.c. 18161 Morris Ave Suite 102 Homewood IL 60430-2108 Ph: (708) 349-5433 | Anxiety And Stress Center, P.c. 18161 Morris Ave Suite 102 Homewood IL 60430-2108 Ph: (708) 349-5433 |
| NPI Number | 1568513034 |
|---|---|
| Provider Enumeration Date | 01/13/2007 |
| Last Update Date | 06/12/2016 |
| Medicare PECOS PAC ID | 9032299474 |
|---|---|
| Medicare Enrollment ID | O20080110000342 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568513034 | NPI | - | NPPES |
| CH6894 | Other | IL | RAILROAD PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TB0200X | Psychologist - Cognitive & Behavioral | 071004128 (Illinois) | Primary |
| 103TC0700X | Psychologist - Clinical | 071004128 (Illinois) | Secondary |
| Provider Name | Holly O Houston |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1174703912 PECOS PAC ID: 0345320784 Enrollment ID: I20080110000335 |
| Provider Name | Rachel A Sahtout |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124290614 PECOS PAC ID: 0143309823 Enrollment ID: I20080506000752 |
| Provider Name | Nancy R. Soro |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1710051644 PECOS PAC ID: 9032275516 Enrollment ID: I20090309000122 |
| Provider Name | Karen M Rosian |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1295023570 PECOS PAC ID: 8224275821 Enrollment ID: I20130517000343 |
| Provider Name | Vashonte James |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659679983 PECOS PAC ID: 8921311051 Enrollment ID: I20150720000825 |
| Provider Name | Kelli S Louden |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770756975 PECOS PAC ID: 7517260243 Enrollment ID: I20160129000674 |
| Provider Name | Jazzmin A Villanueva |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1417343492 PECOS PAC ID: 7315239084 Enrollment ID: I20160718000496 |
| Provider Name | Danielle Kowach |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568917318 PECOS PAC ID: 7911243027 Enrollment ID: I20190110002116 |
| Provider Name | Lauren Rebecca Koby |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1003374521 PECOS PAC ID: 3173865920 Enrollment ID: I20190429000765 |
| Provider Name | Sandy Esparza |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093374886 PECOS PAC ID: 7214347988 Enrollment ID: I20201109001323 |
| Provider Name | Timara D Betts |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467068593 PECOS PAC ID: 3173902335 Enrollment ID: I20220617000458 |
| Provider Name | Carmecia Mcknight |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831874486 PECOS PAC ID: 6103272794 Enrollment ID: I20231102003004 |
| Provider Name | Ellen Marie Spiese |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1477084861 PECOS PAC ID: 2668819871 Enrollment ID: I20240325000095 |
| Provider Name | William Knor |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1720405269 PECOS PAC ID: 2062859812 Enrollment ID: I20240328001600 |
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