| Feathers Behavioral Health Services, Inc | |
|
4320 Spring Creek Rd Rockford IL 61107-1175 | |
| (779) 200-2857 | |
| (888) 300-6201 |
| Full Name | Feathers Behavioral Health Services, Inc |
|---|---|
| Speciality | Social Worker |
| Location | 4320 Spring Creek Rd, Rockford, Illinois |
| Authorized Official Name and Position | Christine Blake Feathers (PRESIDENT & CEO) |
| Authorized Official Contact | 8154944012 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Feathers Behavioral Health Services, Inc 4320 Spring Creek Rd Rockford IL 61107-1175 Ph: (779) 200-2857 | Feathers Behavioral Health Services, Inc 4320 Spring Creek Rd Rockford IL 61107-1175 Ph: (779) 200-2857 |
| NPI Number | 1669818837 |
|---|---|
| Provider Enumeration Date | 05/15/2013 |
| Last Update Date | 05/15/2013 |
| Medicare PECOS PAC ID | 2365762614 |
|---|---|
| Medicare Enrollment ID | O20150528000007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669818837 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Christine Blake Feathers |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679592331 PECOS PAC ID: 2062417611 Enrollment ID: I20061003000607 |
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