| Reta Elizabeth Webster, BS | |
|
4409 Maine St, Quincy, IL 62305-5849 | |
| (217) 223-0413 | |
| (217) 223-0461 |
| Full Name | Reta Elizabeth Webster |
|---|---|
| Gender | Female |
| Speciality | Counselor |
| Location | 4409 Maine St, Quincy, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558579417 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
| Entity Name | Transitions Of Western Illinois Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194784819 PECOS PAC ID: 3173414224 Enrollment ID: O20041120000042 |
| Mailing Address | Practice Location Address |
|---|---|
| Reta Elizabeth Webster, BS 3100 State St, Apt E66, Quincy, IL 62301-5700 Ph: (217) 223-0413 | Reta Elizabeth Webster, BS 4409 Maine St, Quincy, IL 62305-5849 Ph: (217) 223-0413 |
Stacey Samantha Soliman Juilfs, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 639 York St Rm 212, Quincy, IL 62301 Phone: 217-222-6271 | |
Mrs. Anne-claire Marie Vahle, MSED Counselor Medicare: Not Enrolled in Medicare Practice Location: 205 S 24th St, Quincy, IL 62301 Phone: 217-222-0034 Fax: 217-222-3865 | |
Janis Lynn Frageman, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 4409 Maine, Quincy, IL 62305 Phone: 217-223-0423 Fax: 217-223-0461 | |
Nicole Antoinette Shields, MS, LCPC, QMHP Counselor Medicare: Medicare Enrolled Practice Location: 1025 Maine St, Quincy, IL 62301 Phone: 217-222-6550 | |
Kathleen Jean Nelson, M.S. ED. Counselor Medicare: Medicare Enrolled Practice Location: 1025 Maine St, Quincy, IL 62301 Phone: 217-222-6550 Fax: 217-277-2253 | |
Martinette Z Douglas, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2931 Payson Hts Apt Suite, Quincy, IL 62305 Phone: 773-669-8168 | |
Matthew Dutton, CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1258 Broadway St, Quincy, IL 62301 Phone: 217-223-0170 |