| Life Care Wellness, Inc. | |
|
800 Roosevelt Rd Ste C206 Glen Ellyn IL 60137-5851 | |
| (630) 423-5935 | |
| (630) 545-3630 |
| Full Name | Life Care Wellness, Inc. |
|---|---|
| Speciality | Counselor |
| Location | 800 Roosevelt Rd Ste C206, Glen Ellyn, Illinois |
| Authorized Official Name and Position | Rhonda K Kelloway (PRESIDENT) |
| Authorized Official Contact | 6305690822 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Life Care Wellness, Inc. 800 Roosevelt Rd Ste C206 Glen Ellyn IL 60137-5851 Ph: (630) 423-5935 | Life Care Wellness, Inc. 800 Roosevelt Rd Ste C206 Glen Ellyn IL 60137-5851 Ph: (630) 423-5935 |
| NPI Number | 1952767733 |
|---|---|
| Provider Enumeration Date | 01/08/2016 |
| Last Update Date | 02/04/2021 |
| Certification Date | 02/04/2021 |
| Medicare PECOS PAC ID | 2860791449 |
|---|---|
| Medicare Enrollment ID | O20160503001964 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952767733 | NPI | - | NPPES |
| Provider Name | Susan L Pelton |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1003947847 PECOS PAC ID: 0345340360 Enrollment ID: I20070705000214 |
| Provider Name | Rhonda K Kelloway |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033257332 PECOS PAC ID: 2163566787 Enrollment ID: I20100220000381 |
| Provider Name | Sarah L Katula |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1972818987 PECOS PAC ID: 5395938534 Enrollment ID: I20101020001413 |
| Provider Name | Sarah Vanmeter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033542287 PECOS PAC ID: 6608182241 Enrollment ID: I20150827002742 |
| Provider Name | Sheri Leasure |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447604491 PECOS PAC ID: 0941562243 Enrollment ID: I20180327000463 |
| Provider Name | Gayle M Pape |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285987511 PECOS PAC ID: 6103234612 Enrollment ID: I20210422001484 |
| Provider Name | Samantha Mcgovern |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1871007476 PECOS PAC ID: 8820431505 Enrollment ID: I20240209001011 |
| Provider Name | Catherine Conway |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1558599902 PECOS PAC ID: 0941675862 Enrollment ID: I20240221000243 |
| Provider Name | Aaron Johnson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1376275800 PECOS PAC ID: 4880069939 Enrollment ID: I20240221002182 |
| Provider Name | Martha Dennen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1841438595 PECOS PAC ID: 8224403118 Enrollment ID: I20240223001227 |
| Provider Name | Courtney Rolla |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1942794292 PECOS PAC ID: 7416393111 Enrollment ID: I20240315000863 |
| Provider Name | Linette Howard |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1528346483 PECOS PAC ID: 3779958681 Enrollment ID: I20240315002738 |
| Provider Name | Jennifer Mehochko |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1194870139 PECOS PAC ID: 2769821172 Enrollment ID: I20240418001406 |
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