| Patricia Breshears, | |
|
2615 Edwards St, Alton, IL 62002-3915 | |
| (618) 462-2331 | |
| (618) 462-2504 |
| Full Name | Patricia Breshears |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 2615 Edwards St, Alton, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215330766 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 180.004916 (Illinois) | Primary |
| Entity Name | Calmwaters Counseling & Resource Center, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134505829 PECOS PAC ID: 6800103466 Enrollment ID: O20150914002590 |
| Mailing Address | Practice Location Address |
|---|---|
| Patricia Breshears, 2615 Edwards St, Alton, IL 62002-3915 Ph: (618) 462-2331 | Patricia Breshears, 2615 Edwards St, Alton, IL 62002-3915 Ph: (618) 462-2331 |
Elissha Lenhardt, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2615 Edwards St, Alton, IL 62002 Phone: 618-462-2331 Fax: 618-462-2504 | |
Jennifer Tapen, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2615 Edwards St, Alton, IL 62002 Phone: 618-462-2331 Fax: 618-462-2504 | |
Emily Pembrook, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2615 Edwards St, Alton, IL 62002 Phone: 618-462-2331 Fax: 618-462-2504 | |
Joshua Lupardus, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2615 Edwards St, Alton, IL 62002 Phone: 618-462-2331 Fax: 618-462-7160 | |
Lauren Lumpkins, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2615 Edwards St, Alton, IL 62002 Phone: 618-462-2331 Fax: 618-462-2504 | |
Erin Loebner, MSED, LCPC Counselor Medicare: Medicare Enrolled Practice Location: 2615 Edwards St, Alton, IL 62002 Phone: 618-462-2331 Fax: 618-462-2504 | |
Ms. Linda K Moffatt, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 611 W Delmar Ave, Alton, IL 62002 Phone: 618-791-8006 Fax: 618-243-6558 |