| Becoming Free Counseling Services Pllc | |
|
555 S Perryville Rd Ste 222 Rockford IL 61108-2522 | |
| (815) 331-1023 | |
| Not Available |
| Full Name | Becoming Free Counseling Services Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 555 S Perryville Rd Ste 222, Rockford, Illinois |
| Authorized Official Name and Position | Ashley Phillips (OWNER) |
| Authorized Official Contact | 8159789803 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Becoming Free Counseling Services Pllc 7790 Nesting Eagles Rd Machesney Park IL 61115-8307 Ph: () - | Becoming Free Counseling Services Pllc 555 S Perryville Rd Ste 222 Rockford IL 61108-2522 Ph: (815) 331-1023 |
| NPI Number | 1972379535 |
|---|---|
| Provider Enumeration Date | 11/27/2023 |
| Last Update Date | 02/02/2024 |
| Certification Date | 02/02/2024 |
| Medicare PECOS PAC ID | 8729422860 |
|---|---|
| Medicare Enrollment ID | O20240216003053 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972379535 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Ashley Phillips |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427482397 PECOS PAC ID: 7719298231 Enrollment ID: I20190916000059 |
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