| Mrs Mansukh Sandhu, MS, NCC, LCPC | |
|
Lifestance Health, 55 East Loop Rd, Ste 301, Wheaton, IL 60189 | |
| (630) 482-7890 | |
| Not Available |
| Full Name | Mrs Mansukh Sandhu |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | Lifestance Health, Wheaton, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477151942 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 180.015821 (Illinois) | Primary |
| 101YM0800X | Counselor - Mental Health | 180.015821 (Illinois) | Secondary |
| Entity Name | Edgewood Clinical Services P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295914646 PECOS PAC ID: 3971963901 Enrollment ID: O20230721001228 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Mansukh Sandhu, MS, NCC, LCPC 1421 Sweetbay Ln, West Chicago, IL 60185-5933 Ph: (630) 400-7985 | Mrs Mansukh Sandhu, MS, NCC, LCPC Lifestance Health, 55 East Loop Rd, Ste 301, Wheaton, IL 60189 Ph: (630) 482-7890 |
Ariana Santacruz, Counselor Medicare: Not Enrolled in Medicare Practice Location: 115 N County Farm Rd, Wheaton, IL 60187 Phone: 630-682-7400 | |
Monique D Copprue, Counselor Medicare: Not Enrolled in Medicare Practice Location: 111 N County Farm Rd, Wheaton, IL 60187 Phone: 630-682-7400 | |
Brendan Christopher Bell, MA LCPC Counselor Medicare: Medicare Enrolled Practice Location: 620 W Roosevelt Rd, Suite D 1, Wheaton, IL 60187 Phone: 630-462-1999 Fax: 630-462-0059 | |
Ms. Diane Johanning, M.A., LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2100 Manchester Rd Ste 900, Wheaton, IL 60187 Phone: 630-665-1255 | |
Mrs. Amy M Churchill, MS, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1616 E Roosevelt Rd, Suite 8, Wheaton, IL 60187 Phone: 630-588-1201 | |
Sergio Martinez, LSW, CADC Counselor Medicare: Accepting Medicare Assignments Practice Location: 2100 Manchester Rd Ste 1510, Wheaton, IL 60187 Phone: 630-653-1717 Fax: 630-653-9691 | |
Fallon Weatherspoon, Counselor Medicare: Not Enrolled in Medicare Practice Location: 111 N County Farm Rd, Wheaton, IL 60187 Phone: 630-682-7400 |