| New Heights Counseling Llc | |
|
610 State Route 116 Metamora IL 61548-7729 | |
| (309) 840-3885 | |
| Not Available |
| Full Name | New Heights Counseling Llc |
|---|---|
| Speciality | Social Worker |
| Location | 610 State Route 116, Metamora, Illinois |
| Authorized Official Name and Position | Jill Bradford (OWNER, SOLE PROPRIETER) |
| Authorized Official Contact | 3098403885 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| New Heights Counseling Llc 610 State Route 116 Metamora IL 61548-7729 Ph: (309) 840-3885 | New Heights Counseling Llc 610 State Route 116 Metamora IL 61548-7729 Ph: (309) 840-3885 |
| NPI Number | 1093226201 |
|---|---|
| Provider Enumeration Date | 10/14/2017 |
| Last Update Date | 10/14/2017 |
| Medicare PECOS PAC ID | 7719240290 |
|---|---|
| Medicare Enrollment ID | O20180416000788 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093226201 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 149012597 (Illinois) | Primary |
| Provider Name | Jill S Bradford |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013235779 PECOS PAC ID: 8426311903 Enrollment ID: I20180416000927 |
Mended Hearts Stable Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1431 Lourdes Rd, Metamora, IL 61548 Phone: 309-383-4323 Fax: 309-383-3399 |