| Holly Goins, MSW, LCSW | |
|
7820 N University St Ste 204, Peoria, IL 61614-8302 | |
| (309) 863-2593 | |
| (309) 966-0861 |
| Full Name | Holly Goins |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 7820 N University St Ste 204, Peoria, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689484537 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 149.028220 (Illinois) | Primary |
| Entity Name | Phoenix Wellness, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538608690 PECOS PAC ID: 4183997679 Enrollment ID: O20170905002415 |
| Mailing Address | Practice Location Address |
|---|---|
| Holly Goins, MSW, LCSW 7820 N University St Ste 204, Peoria, IL 61614-8302 Ph: (309) 863-2593 | Holly Goins, MSW, LCSW 7820 N University St Ste 204, Peoria, IL 61614-8302 Ph: (309) 863-2593 |
Ginger Renee Hughes Garner, LCSW, CADC Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 7717 N Orange Prairie Rd, Peoria, IL 61615 Phone: 309-267-2289 | |
Jaimie M Peterson, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2265 W Altorfer Dr, Peoria, IL 61615 Phone: 309-683-7700 Fax: 309-683-7752 | |
Shannon Dolan, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7717 N Orange Prairie Rd, Peoria, IL 61615 Phone: 309-589-6800 | |
Eddie K Wong, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 600 Fayette St, Peoria, IL 61603 Phone: 309-671-8005 Fax: 309-671-8021 | |
Mrs. Sandra Susan Cross, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 809 W Detweiller Dr Ste 810, Peoria, IL 61615 Phone: 309-264-9517 | |
Catherine J Kilbourn, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 900 Main St, Suite 580, Peoria, IL 61602 Phone: 309-637-4266 Fax: 309-637-9836 | |
Mrs. Sylvia Ana Murphy, LCSW, MA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2000 W Pioneer Pkwy, Suite 3, Peoria, IL 61615 Phone: 309-402-0666 Fax: 309-402-0563 |