| Resilient Counseling | |
|
1308 Collins Ave Lawrenceville IL 62439-2528 | |
| (618) 510-9131 | |
| (217) 670-6713 |
| Full Name | Resilient Counseling |
|---|---|
| Speciality | Counselor |
| Location | 1308 Collins Ave, Lawrenceville, Illinois |
| Authorized Official Name and Position | Andrew Caldwell (THERAPIST) |
| Authorized Official Contact | 6185109131 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Resilient Counseling Po Box 252 Lawrenceville IL 62439-0252 Ph: (618) 510-9131 | Resilient Counseling 1308 Collins Ave Lawrenceville IL 62439-2528 Ph: (618) 510-9131 |
| NPI Number | 1063195634 |
|---|---|
| Provider Enumeration Date | 08/10/2023 |
| Last Update Date | 09/29/2024 |
| Certification Date | 09/29/2024 |
| Medicare PECOS PAC ID | 6406295567 |
|---|---|
| Medicare Enrollment ID | O20240423000042 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063195634 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Andrew F Caldwell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1396200531 PECOS PAC ID: 3577917822 Enrollment ID: I20240423000062 |
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