| Sarah Ashley Diane Davis, LCPC | |
|
515 N College St, Lincoln, IL 62656-1401 | |
| (217) 525-1064 | |
| (217) 525-1651 |
| Full Name | Sarah Ashley Diane Davis |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 515 N College St, Lincoln, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558066738 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 180015094 (Illinois) | Primary |
| Entity Name | Mental Health Centers Of Central Illinois |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225008113 PECOS PAC ID: 8325940521 Enrollment ID: O20040127000030 |
| Entity Name | Mental Health Centers Of Central Illinois |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225008113 PECOS PAC ID: 8325940521 Enrollment ID: O20041222000489 |
| Mailing Address | Practice Location Address |
|---|---|
| Sarah Ashley Diane Davis, LCPC Po Box 3428, Springfield, IL 62708-3428 Ph: (217) 525-1064 | Sarah Ashley Diane Davis, LCPC 515 N College St, Lincoln, IL 62656-1401 Ph: (217) 525-1064 |
Emily Taylor Barr, Counselor Medicare: Not Enrolled in Medicare Practice Location: 515 N College St, Lincoln, IL 62656 Phone: 217-732-9681 | |
Amy Muehlenberg, Counselor Medicare: Not Enrolled in Medicare Practice Location: 125 N Sangamon St, Lincoln, IL 62656 Phone: 217-732-6865 | |
Olivia Valdez-massena, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 515 N College St, Lincoln, IL 62656 Phone: 217-735-2272 Fax: 217-735-2342 | |
Kimberly Dawn King, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 204 N Mclean St, Lincoln, IL 62656 Phone: 217-732-4445 | |
Darwin J Allen, LPC, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 521 N Sherman St, Lincoln, IL 62656 Phone: 217-735-2153 | |
Dr. Violeta Cone, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1700 N Jefferson St, Lincoln, IL 62656 Phone: 217-671-9887 | |
Mr. Clay Crawford Glover, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 340 Campus View Dr, Catholic Charities 1411 N Kickapoo, Lincoln, IL 62656 Phone: 217-735-4864 |