| Two Roads Wellness Clinic | |
|
3545 N Vermilion St Danville IL 61832-1100 | |
| (217) 651-6801 | |
| (217) 651-6802 |
| Full Name | Two Roads Wellness Clinic |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 3545 N Vermilion St, Danville, Illinois |
| Authorized Official Name and Position | Jessica Nemecz (COUNSELOR) |
| Authorized Official Contact | 2176516801 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Two Roads Wellness Clinic 3545 N Vermilion St Danville IL 61832-1100 Ph: (217) 651-6801 | Two Roads Wellness Clinic 3545 N Vermilion St Danville IL 61832-1100 Ph: (217) 651-6801 |
| NPI Number | 1417329426 |
|---|---|
| Provider Enumeration Date | 10/29/2015 |
| Last Update Date | 05/20/2024 |
| Certification Date | 05/20/2024 |
| Medicare PECOS PAC ID | 9638536220 |
|---|---|
| Medicare Enrollment ID | O20230613003222 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417329426 | NPI | - | NPPES |
| Provider Name | Jeffrey A Schroder |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1952483315 PECOS PAC ID: 5193990679 Enrollment ID: I20111212000575 |
| Provider Name | Jessica Irene Nemecz |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1407977135 PECOS PAC ID: 3072953926 Enrollment ID: I20240425003708 |
| Provider Name | Michel Dean Tozer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1053649301 PECOS PAC ID: 7719329465 Enrollment ID: I20240524003425 |
| Provider Name | Ashley Crain |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1821584863 PECOS PAC ID: 4486196722 Enrollment ID: I20240603000856 |
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