| Rudolph Counseling | |
|
12570 Dorr Rd Rockton IL 61072-2839 | |
| (815) 988-6687 | |
| Not Available |
| Full Name | Rudolph Counseling |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 12570 Dorr Rd, Rockton, Illinois |
| Authorized Official Name and Position | Rebecca Rudolph (OWNER) |
| Authorized Official Contact | 8153540604 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rudolph Counseling 12570 Dorr Rd Rockton IL 61072-2839 Ph: (815) 988-6687 | Rudolph Counseling 12570 Dorr Rd Rockton IL 61072-2839 Ph: (815) 988-6687 |
| NPI Number | 1477091908 |
|---|---|
| Provider Enumeration Date | 02/03/2017 |
| Last Update Date | 02/03/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477091908 | NPI | - | NPPES |
| 1750619318 | Medicaid | WI | |
| 1750619318 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 180007114 (Illinois) | Primary |
| 251S00000X | Community/behavioral Health | 4570125 (Wisconsin) | Secondary |
Stateline Counseling Services Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1107 N Blackhawk Blvd, Suite 8, Rockton, IL 61072 Phone: 815-494-9115 Fax: 815-926-5301 | |
Sage Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 122 Eaglewood Pl, Rockton, IL 61072 Phone: 815-624-2783 |