| Paula L Lawrence, CRC, LCPC, CADC | |
|
1011 Broadway St, Mount Vernon, IL 62864-4009 | |
| (618) 816-5158 | |
| Not Available |
| Full Name | Paula L Lawrence |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 1011 Broadway St, Mount Vernon, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154695047 | NPI | - | NPPES |
| 00275446 | Other | IL | COMMISSION ON REHABILITATION COUNSELOR CERTIFICATION |
| 271000235 | Other | IL | STATE LICENSE |
| 180012544 | Other | IL | STATE LICENSE |
| 272000224 | Other | IL | STATE LICENSE |
| Entity Name | Grow Healthcare Group PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20220414000139 |
| Mailing Address | Practice Location Address |
|---|---|
| Paula L Lawrence, CRC, LCPC, CADC 1011 Broadway St, Mount Vernon, IL 62864-4009 Ph: (618) 816-5158 | Paula L Lawrence, CRC, LCPC, CADC 1011 Broadway St, Mount Vernon, IL 62864-4009 Ph: (618) 816-5158 |
Kathy O'brien, Counselor Medicare: Not Enrolled in Medicare Practice Location: 16338 N Il Highway 37, Mount Vernon, IL 62864 Phone: 618-242-1510 |
Jon Christian Minor, MHP Counselor Medicare: Not Enrolled in Medicare Practice Location: 4110 N Water Tower Pl, Mount Vernon, IL 62864 Phone: 618-242-8266 |
Nicole Schaeffer, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4114 N Water Tower Pl Ste F, Mount Vernon, IL 62864 Phone: 618-634-7753 Fax: 618-316-7058 |
Mr. Nathan Biggerstaff Andrew Biggerstaff, QMHP Counselor Medicare: Not Enrolled in Medicare Practice Location: 4805 Broadway St Ste C, Mount Vernon, IL 62864 Phone: 186-417-4817 |
Rebecca Chavez, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3600 S Water Tower Pl, Mount Vernon, IL 62864 Phone: 618-244-0212 |
James Brian Verges, CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 16338 N. Illinois Hwy 37, Mount Vernon, IL 62864 Phone: 618-242-1546 Fax: 618-242-0957 |
Mike Lehker, Counselor Medicare: Not Enrolled in Medicare Practice Location: 16342 N Il Hwy 37, Mount Vernon, IL 62864 Phone: 618-242-1510 Fax: 618-242-0958 |