| Elliott Counseling Services, Llc | |
|
706 Oglesby Ave Ste 300 Normal IL 61761-4616 | |
| (309) 212-3606 | |
| (312) 789-4373 |
| Full Name | Elliott Counseling Services, Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 706 Oglesby Ave Ste 300, Normal, Illinois |
| Authorized Official Name and Position | Pamela Jo Elliott (MANAGER/OWNER) |
| Authorized Official Contact | 3092123606 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Elliott Counseling Services, Llc 1310 E Grove St Bloomington IL 61701-4215 Ph: (309) 212-2496 | Elliott Counseling Services, Llc 706 Oglesby Ave Ste 300 Normal IL 61761-4616 Ph: (309) 212-3606 |
| NPI Number | 1396067559 |
|---|---|
| Provider Enumeration Date | 02/15/2010 |
| Last Update Date | 01/23/2023 |
| Certification Date | 01/23/2023 |
| Medicare PECOS PAC ID | 2264709690 |
|---|---|
| Medicare Enrollment ID | O20170606001451 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396067559 | NPI | - | NPPES |
| Provider Name | Jennifer L Elzey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700384641 PECOS PAC ID: 6709213887 Enrollment ID: I20200302002187 |
| Provider Name | Deborah Kay Scott |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689678294 PECOS PAC ID: 5395193742 Enrollment ID: I20231127001475 |
| Provider Name | Lori Ann Henehan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1124765227 PECOS PAC ID: 6406297563 Enrollment ID: I20240507004395 |
| Provider Name | Pamela Jo Elliott |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1841200904 PECOS PAC ID: 2062789498 Enrollment ID: I20240612000554 |
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