| Meghan Rivard, | |
|
2604 Dempster St Ste 402, Park Ridge, IL 60068-8438 | |
| (847) 318-8200 | |
| (224) 478-0026 |
| Full Name | Meghan Rivard |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 2604 Dempster St Ste 402, Park Ridge, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588385140 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Entity Name | Willow Wellness Center, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154437739 PECOS PAC ID: 0941275267 Enrollment ID: O20040831000525 |
| Mailing Address | Practice Location Address |
|---|---|
| Meghan Rivard, 2604 Dempster St Ste 402, Park Ridge, IL 60068-8438 Ph: () - | Meghan Rivard, 2604 Dempster St Ste 402, Park Ridge, IL 60068-8438 Ph: (847) 318-8200 |
Nicole C Potoski, LCPC CADC CODP I Counselor Medicare: Not Enrolled in Medicare Practice Location: 250 S Northwest Hwy Ste 110, Park Ridge, IL 60068 Phone: 888-428-7890 | |
Ms. Nickoleta Merkouris, PSYD Counselor Medicare: Not Enrolled in Medicare Practice Location: 1440 Renaissance Dr Ste 320, Park Ridge, IL 60068 Phone: 847-759-9110 Fax: 224-985-2119 | |
Anita Groll, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1580 N Northwest Hwy, Suite 111-g, Park Ridge, IL 60068 Phone: 708-925-3540 | |
Mark Talaga, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 350 S Northwest Hwy, Suite 300, Park Ridge, IL 60068 Phone: 312-624-9815 | |
Alexandra Therese Raske, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 1580 N Northwest Hwy, Park Ridge, IL 60068 Phone: 847-299-3400 | |
Nicole Varvarezos, LSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 1440 Renaissance Dr Ste 320, Park Ridge, IL 60068 Phone: 847-759-9110 | |
Tomasz Jurczak, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 250 S Northwest Hwy Ste 110, Park Ridge, IL 60068 Phone: 224-985-5824 |