| Prairie Song Therapy And Consulting Pllc | |
|
1806 Woodfield Dr Ste 108 Savoy IL 61874-9505 | |
| (309) 232-8894 | |
| (309) 324-5979 |
| Full Name | Prairie Song Therapy And Consulting Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 1806 Woodfield Dr Ste 108, Savoy, Illinois |
| Authorized Official Name and Position | Mary Adams (OWNER / THERAPIST) |
| Authorized Official Contact | 3092328894 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Prairie Song Therapy And Consulting Pllc 1806 Woodfield Dr Ste 108 Savoy IL 61874-9505 Ph: (309) 232-8894 | Prairie Song Therapy And Consulting Pllc 1806 Woodfield Dr Ste 108 Savoy IL 61874-9505 Ph: (309) 232-8894 |
| NPI Number | 1225805740 |
|---|---|
| Provider Enumeration Date | 12/05/2023 |
| Last Update Date | 12/05/2023 |
| Certification Date | 12/05/2023 |
| Medicare PECOS PAC ID | 3173960457 |
|---|---|
| Medicare Enrollment ID | O20240321003619 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225805740 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Mary Adams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952062895 PECOS PAC ID: 9234516378 Enrollment ID: I20220511001778 |
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