| Ashley Brown, LSW | |
|
34 W Grand Ave Ste 101, Fox Lake, IL 60020-1224 | |
| (847) 322-2975 | |
| Not Available |
| Full Name | Ashley Brown |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 34 W Grand Ave Ste 101, Fox Lake, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942017439 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 150.107814 (Illinois) | Primary |
| Entity Name | Bailey Behavioral Health LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790258408 PECOS PAC ID: 0547681058 Enrollment ID: O20200608002967 |
| Mailing Address | Practice Location Address |
|---|---|
| Ashley Brown, LSW 34 W Grand Ave Ste 101, Fox Lake, IL 60020-1224 Ph: (847) 322-2975 | Ashley Brown, LSW 34 W Grand Ave Ste 101, Fox Lake, IL 60020-1224 Ph: (847) 322-2975 |
Amber Nicole Shrum, LSW, CADC Counselor Medicare: May Accept Medicare Assignments Practice Location: 34 W Grand Ave Unit 101, Fox Lake, IL 60020 Phone: 847-322-2975 |
Diane M Bailey Yoder, LPC Counselor Medicare: May Accept Medicare Assignments Practice Location: 34 W Grand Ave Ste 101, Fox Lake, IL 60020 Phone: 847-322-2975 Fax: 888-436-1636 |
Stephanie Lynn Provis, Counselor Medicare: May Accept Medicare Assignments Practice Location: 34 W Grand Ave Ste 101, Fox Lake, IL 60020 Phone: 847-322-2975 |
Elzbieta Wojnarowska, Counselor Medicare: May Accept Medicare Assignments Practice Location: 34 W Grand Ave Ste 101, Fox Lake, IL 60020 Phone: 847-322-2975 |
Mr. Joshua Tyler Armstrong, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 34 W Grand Ave Ste 101, Fox Lake, IL 60020 Phone: 815-762-7882 |
Taylor Kaether, MS, LCPC Counselor Medicare: Medicare Enrolled Practice Location: 34 W Grand Ave Ste 101, Fox Lake, IL 60020 Phone: 847-322-2975 |
Kellen M Smith, Counselor Medicare: Not Enrolled in Medicare Practice Location: 94 Eagle Point Rd, Fox Lake, IL 60020 Phone: 815-528-8965 |