| Glowing Embers Counseling Llc | |
|
1226 N High St Paris IL 61944-5998 | |
| (217) 251-3913 | |
| (217) 466-9625 |
| Full Name | Glowing Embers Counseling Llc |
|---|---|
| Speciality | Social Worker |
| Location | 1226 N High St, Paris, Illinois |
| Authorized Official Name and Position | Rebekah Dickey (LCSW/OWNER) |
| Authorized Official Contact | 2172513913 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Glowing Embers Counseling Llc 2526 N 10th St Terre Haute IN 47804-1106 Ph: (217) 251-3913 | Glowing Embers Counseling Llc 1226 N High St Paris IL 61944-5998 Ph: (217) 251-3913 |
| NPI Number | 1306626890 |
|---|---|
| Provider Enumeration Date | 10/02/2023 |
| Last Update Date | 10/12/2023 |
| Certification Date | 10/12/2023 |
| Medicare PECOS PAC ID | 9638529019 |
|---|---|
| Medicare Enrollment ID | O20231227002119 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306626890 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Rebekah Erin Dickey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366140311 PECOS PAC ID: 3971977489 Enrollment ID: I20230324000526 |
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