| Mr David C Evans, LCPC | |
|
1644 W Colonial Pkwy, Inverness, IL 60067-1207 | |
| (224) 628-3654 | |
| Not Available |
| Full Name | Mr David C Evans |
|---|---|
| Gender | Male |
| Speciality | Counselor - Professional |
| Location | 1644 W Colonial Pkwy, Inverness, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407863186 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (Illinois) | Primary |
| Entity Name | Affective Counseling Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811400187 PECOS PAC ID: 5991158347 Enrollment ID: O20240201001402 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr David C Evans, LCPC 1644 W Colonial Pkwy, Inverness, IL 60067-1207 Ph: (224) 628-3654 | Mr David C Evans, LCPC 1644 W Colonial Pkwy, Inverness, IL 60067-1207 Ph: (224) 628-3654 |
Ms. Sarah Lynn Lloyd, LCPC, CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1644 W Colonial Pkwy, Inverness, IL 60067 Phone: 815-766-1719 | |
Brittany Hall, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1608 Colonial Parkway, Suite 101, 204, 209, Inverness, IL 60067 Phone: 630-667-8411 | |
Lilly Crimmins, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1644 W Colonial Pkwy, Inverness, IL 60067 Phone: 847-776-4500 Fax: 847-776-4724 | |
Ms. Theresa L. Grimm, M.A., LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1608 W Colonial Pkwy Ste Ll101, Inverness, IL 60067 Phone: 847-791-5325 | |
Sheila Schmidt, CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1644 W Colonial Pkwy, Inverness, IL 60067 Phone: 847-776-4500 Fax: 847-776-4724 | |
Mrs. Rebecca Benson, MHA, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 1608 W Colonial Pkwy Ste 104, Inverness, IL 60067 Phone: 847-306-9370 | |
Valerie A Bond, MA, LPCP Counselor Medicare: Not Enrolled in Medicare Practice Location: 1627 W Colonial Pkwy Ste 300, Inverness, IL 60067 Phone: 847-921-7006 |