| Bridge Of Hope Counseling Services Pc | |
|
39 Dell Ave East Alton IL 62024-1738 | |
| (618) 977-8251 | |
| Not Available |
| Full Name | Bridge Of Hope Counseling Services Pc |
|---|---|
| Speciality | Social Worker |
| Location | 39 Dell Ave, East Alton, Illinois |
| Authorized Official Name and Position | Michelle Louise Graham (PRESIDENT) |
| Authorized Official Contact | 6189778251 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bridge Of Hope Counseling Services Pc 39 Dell Ave East Alton IL 62024-1738 Ph: (618) 977-8251 | Bridge Of Hope Counseling Services Pc 39 Dell Ave East Alton IL 62024-1738 Ph: (618) 977-8251 |
| NPI Number | 1225444508 |
|---|---|
| Provider Enumeration Date | 07/07/2014 |
| Last Update Date | 07/07/2014 |
| Medicare PECOS PAC ID | 2769604834 |
|---|---|
| Medicare Enrollment ID | O20141105002746 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225444508 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (Illinois) | Primary |
| Provider Name | Michelle L Graham |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417396110 PECOS PAC ID: 5092945337 Enrollment ID: I20140305001547 |
Centerstone Of Illinois, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 515 Niagara Street, East Alton, IL 62024 Phone: 618-937-6483 Fax: 618-937-1440 | |
Caritas Family Solutions Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 645 Berkshire Blvd, East Alton, IL 62024 Phone: 618-258-8750 Fax: 618-258-8751 | |
Pasta's Purpose Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 219 Eastgate Plz, East Alton, IL 62024 Phone: 618-306-9173 | |
Centerstone Of Illinois, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 515 Niagara St, East Alton, IL 62024 Phone: 618-937-6483 |