| Alisa Cates, LCPC | |
|
808 S Main St Ste C, Columbia, IL 62236-2499 | |
| (618) 340-1721 | |
| Not Available |
| Full Name | Alisa Cates |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 808 S Main St Ste C, Columbia, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801238365 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 180.012524 (Illinois) | Secondary |
| 101YP2500X | Counselor - Professional | 178009056 (Illinois) | Primary |
| Entity Name | Vitae Health Medical Illinois, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174013452 PECOS PAC ID: 2365798410 Enrollment ID: O20180703002838 |
| Mailing Address | Practice Location Address |
|---|---|
| Alisa Cates, LCPC 108 Hawthorne Pl Apt 2, Columbia, IL 62236-1029 Ph: (618) 340-1721 | Alisa Cates, LCPC 808 S Main St Ste C, Columbia, IL 62236-2499 Ph: (618) 340-1721 |
Ms. Kim Ann Soltysiak, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2637 Kory Dr, Columbia, IL 62236 Phone: 314-960-0632 Fax: 618-281-8127 | |
Mrs. Karen Scherr Lundy, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 221 S. Metter, Columbia, IL 62236 Phone: 618-281-9282 Fax: 618-281-4641 | |
Michelle Tullis, Counselor Medicare: Not Enrolled in Medicare Practice Location: 221 S Metter Ave, Columbia, IL 62236 Phone: 618-420-3353 | |
Amy P Hemenway, M. ED Counselor Medicare: Not Enrolled in Medicare Practice Location: 9273 Coach Stop Rd, Columbia, IL 62236 Phone: 618-910-1937 | |
Mrs. Kathryn Ann Mager, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 9273 Coach Stop Road, Columbia, IL 62236 Phone: 618-281-2172 Fax: 618-281-2172 | |
Claire Breidenbach, Counselor Medicare: Not Enrolled in Medicare Practice Location: 518 N Rapp Ave, Columbia, IL 62236 Phone: 815-228-6320 | |
Kati Michalas, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 808 S Main St Ste C, Columbia, IL 62236 Phone: 314-329-5449 |