| Envisage Counseling Services Llc | |
|
1214 Eureka St Urbana IL 61801-1321 | |
| (217) 418-3730 | |
| Not Available |
| Full Name | Envisage Counseling Services Llc |
|---|---|
| Speciality | Counselor |
| Location | 1214 Eureka St, Urbana, Illinois |
| Authorized Official Name and Position | Lawanda Mcgee (OWNER) |
| Authorized Official Contact | 2174183730 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Envisage Counseling Services Llc 1214 Eureka St Urbana IL 61801-1321 Ph: () - | Envisage Counseling Services Llc 1214 Eureka St Urbana IL 61801-1321 Ph: (217) 418-3730 |
| NPI Number | 1285375022 |
|---|---|
| Provider Enumeration Date | 04/05/2022 |
| Last Update Date | 04/05/2022 |
| Certification Date | 04/05/2022 |
| Medicare PECOS PAC ID | 4486021714 |
|---|---|
| Medicare Enrollment ID | O20221031000188 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285375022 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Lawanda R Mcgee |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285267799 PECOS PAC ID: 7416374160 Enrollment ID: I20200826003780 |
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