Bernadette Mangialardi, LCPC | |
1004 Health Center Dr Ste 210, Mattoon, IL 61938-4608 | |
(217) 238-4961 | |
(217) 238-4962 |
Full Name | Bernadette Mangialardi |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 1004 Health Center Dr Ste 210, Mattoon, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1841736816 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
101YP2500X | Counselor - Professional | 180-015472 (Illinois) | Primary |
Entity Name | Sarah Bush Lincoln Health Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669564662 PECOS PAC ID: 5092614867 Enrollment ID: O20031231000478 |
Mailing Address | Practice Location Address |
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Bernadette Mangialardi, LCPC Po Box 372, Mattoon, IL 61938-0372 Ph: () - | Bernadette Mangialardi, LCPC 1004 Health Center Dr Ste 210, Mattoon, IL 61938-4608 Ph: (217) 238-4961 |
Kaycee Britton, BA, MHP Counselor Medicare: Not Enrolled in Medicare Practice Location: 750 Broadway Ave E, Mattoon, IL 61938 Phone: 217-238-5700 | |
Kiaya Loy, MS, MHP Counselor Medicare: Not Enrolled in Medicare Practice Location: 750 Broadway Ave E, Mattoon, IL 61938 Phone: 217-238-5700 | |
Nerissa Jones, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 750 Broadway Ave E, Mattoon, IL 61938 Phone: 217-238-5735 | |
Jessica Milburn, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 750 Broadway Ave E, Mattoon, IL 61938 Phone: 217-238-5700 Fax: 217-238-5767 | |
Taylor Downey, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 750 Broadway Ave E, Mattoon, IL 61938 Phone: 217-238-5700 | |
Bonnie K. Mcdade, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1005 Health Center Drive, Suite 102, Mattoon, IL 61938 Phone: 217-258-4042 Fax: 217-258-4053 | |
Allen M. Creamean, B.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 750 Broadway Ave E, Mattoon, IL 61938 Phone: 217-238-5700 Fax: 217-238-5767 |