Momentum For Life Counseling | |
1801 Woodfield Dr Ste 103 Savoy IL 61874-9505 | |
(217) 366-3417 | |
(217) 954-9292 |
Full Name | Momentum For Life Counseling |
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Speciality | Social Worker |
Location | 1801 Woodfield Dr Ste 103, Savoy, Illinois |
Authorized Official Name and Position | Kelly-jane Monahan (OWNER) |
Authorized Official Contact | 8183078656 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Momentum For Life Counseling 1801 Woodfield Dr Ste 103 Savoy IL 61874-9505 Ph: (217) 366-3417 | Momentum For Life Counseling 1801 Woodfield Dr Ste 103 Savoy IL 61874-9505 Ph: (217) 366-3417 |
NPI Number | 1538708920 |
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Provider Enumeration Date | 01/02/2020 |
Last Update Date | 01/02/2020 |
Certification Date | 01/02/2020 |
Medicare PECOS PAC ID | 1951719855 |
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Medicare Enrollment ID | O20210414000358 |
Identifier | Type | State | Issuer |
---|---|---|---|
1538708920 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Courtney Ann Porter |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1265099790 PECOS PAC ID: 8426466525 Enrollment ID: I20210408001966 |
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