| Cole Counseling, Pllc | |
|
103 N 11th Ave Ste 114 Saint Charles IL 60174-2291 | |
| (309) 453-9083 | |
| Not Available |
| Full Name | Cole Counseling, Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 103 N 11th Ave Ste 114, Saint Charles, Illinois |
| Authorized Official Name and Position | Sherri Goodman (BILLING MANAGER) |
| Authorized Official Contact | 8474960345 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cole Counseling, Pllc 103 N 11th Ave Ste 114 Saint Charles IL 60174-2291 Ph: (309) 453-9083 | Cole Counseling, Pllc 103 N 11th Ave Ste 114 Saint Charles IL 60174-2291 Ph: (309) 453-9083 |
| NPI Number | 1639894603 |
|---|---|
| Provider Enumeration Date | 10/11/2022 |
| Last Update Date | 10/11/2022 |
| Certification Date | 10/11/2022 |
| Medicare PECOS PAC ID | 1052786605 |
|---|---|
| Medicare Enrollment ID | O20230412001945 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639894603 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Donna Lee Cole |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114215480 PECOS PAC ID: 4880825348 Enrollment ID: I20150325000967 |
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