| Changes Counseling, Llc | |
|
1315 Memorial Dr Mendota IL 61342-1447 | |
| (815) 501-2088 | |
| Not Available |
| Full Name | Changes Counseling, Llc |
|---|---|
| Speciality | Counselor |
| Location | 1315 Memorial Dr, Mendota, Illinois |
| Authorized Official Name and Position | Christine Novak (OWNER/COUNSELOR) |
| Authorized Official Contact | 8155012088 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Changes Counseling, Llc Po Box 364 Rochelle IL 61068-0364 Ph: (815) 501-2088 | Changes Counseling, Llc 1315 Memorial Dr Mendota IL 61342-1447 Ph: (815) 501-2088 |
| NPI Number | 1548573108 |
|---|---|
| Provider Enumeration Date | 07/23/2010 |
| Last Update Date | 07/23/2010 |
| Medicare PECOS PAC ID | 9032531769 |
|---|---|
| Medicare Enrollment ID | O20200625000270 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548573108 | NPI | - | NPPES |
| Provider Name | Angele S Villalobos |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497150908 PECOS PAC ID: 7214309798 Enrollment ID: I20230209001332 |
| Provider Name | Christine M Novak |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1740256874 PECOS PAC ID: 7012339740 Enrollment ID: I20240709004054 |
| Provider Name | Lisa Ann Jensen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1912387754 PECOS PAC ID: 9436698180 Enrollment ID: I20240827001037 |
Forest City Behavior Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 807 Monroe St, Mendota, IL 61342 Phone: 815-627-0641 Fax: 270-514-8294 |