| Heavenly Minded Counseling Services Llc | |
|
4460 N Illinois St Ste 1 Swansea IL 62226-1899 | |
| (949) 307-6142 | |
| Not Available |
| Full Name | Heavenly Minded Counseling Services Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 4460 N Illinois St Ste 1, Swansea, Illinois |
| Authorized Official Name and Position | Michelle A. Rhodes (CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 9493076142 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Heavenly Minded Counseling Services Llc 4460 N Illinois St Ste 1 Swansea IL 62226-1899 Ph: () - | Heavenly Minded Counseling Services Llc 4460 N Illinois St Ste 1 Swansea IL 62226-1899 Ph: (949) 307-6142 |
| NPI Number | 1952085920 |
|---|---|
| Provider Enumeration Date | 06/12/2023 |
| Last Update Date | 06/12/2023 |
| Certification Date | 06/11/2023 |
| Medicare PECOS PAC ID | 8426499815 |
|---|---|
| Medicare Enrollment ID | O20240516001657 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952085920 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Michelle A Rhodes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124716808 PECOS PAC ID: 8123469525 Enrollment ID: I20240516001876 |
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