| Jani Hurst, | |
|
2428 Chartres St, La Salle, IL 61301-1107 | |
| (815) 780-8765 | |
| Not Available |
| Full Name | Jani Hurst |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 2428 Chartres St, La Salle, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104645449 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 149023354 (Illinois) | Primary |
| Entity Name | Life Balance Counseling And Wellness Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912409681 PECOS PAC ID: 8325397904 Enrollment ID: O20180814004194 |
| Mailing Address | Practice Location Address |
|---|---|
| Jani Hurst, 2430 8th St, Peru, IL 61354-2121 Ph: (815) 830-2229 | Jani Hurst, 2428 Chartres St, La Salle, IL 61301-1107 Ph: (815) 780-8765 |
Mrs. Michal Y Goldstein, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2970 Chartres St, La Salle, IL 61301 Phone: 815-223-9678 | |
Nicole Heather Tonioni, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2428 Chartres St, La Salle, IL 61301 Phone: 815-780-8765 | |
Mr. Shawn Wayne Slagle, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 2970 Chartres St, La Salle, IL 61301 Phone: 815-223-9678 Fax: 815-223-9683 | |
Ronda Ketner, L.C.S.W Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 2960 Chartres St, La Salle, IL 61301 Phone: 815-224-1610 | |
David Lee Martin, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2960 Chartres St, La Salle, IL 61301 Phone: 815-224-1610 | |
Ms. Kimberly Forristall, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2960 Chartres St, La Salle, IL 61301 Phone: 815-224-1610 Fax: 815-223-1634 |