| Denene King, LCPC | |
|
206 N Parke St, Tuscola, IL 61953-1495 | |
| (217) 352-0200 | |
| (217) 607-1139 |
| Full Name | Denene King |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 206 N Parke St, Tuscola, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396412706 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 180017215 (Illinois) | Primary |
| Entity Name | Keri Powell Therapy Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174751663 PECOS PAC ID: 9638335532 Enrollment ID: O20120720000534 |
| Mailing Address | Practice Location Address |
|---|---|
| Denene King, LCPC 2125 S Neil St, Champaign, IL 61820-7266 Ph: (217) 352-0200 | Denene King, LCPC 206 N Parke St, Tuscola, IL 61953-1495 Ph: (217) 352-0200 |
Kelly Villanti, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 114 W Houghton St, Tuscola, IL 61953 Phone: 217-253-4731 | |
Lauren Christina, Counselor Medicare: Not Enrolled in Medicare Practice Location: 114 W Houghton St, Tuscola, IL 61953 Phone: 217-253-4731 | |
Dawn Davidson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 114 W Houghton St, Tuscola, IL 61953 Phone: 217-253-4731 | |
Shane Brown, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 114 W Houghton St, Tuscola, IL 61953 Phone: 217-253-4731 | |
Casey Christine Mcclain, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1250 E Us Highway 36, Tuscola, IL 61953 Phone: 217-253-4137 Fax: 217-599-3854 | |
Jonathan Coit, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 114 W Houghton St, Tuscola, IL 61953 Phone: 217-253-4731 |