Shyla Rose Bougor, LCPC is a
Clinic/center - Mental Health (including Community Mental Health Center) based in Red Bud, Illinois. Shyla Rose Bougor is licensed to practice in Illinois (license number 180015824) and her current practice location is
10257 State Route 3, Red Bud, Illinois. She can be reached at her office (for appointments etc.) via phone at
(618) 282-6233.
NPI number for Shyla Rose Bougor is 1295380863 and her current mailing address is 110 N Florida Ave, Belleville, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1295380863.
Healthcare Provider's Profile
Full Name | Shyla Rose Bougor |
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Gender | Female |
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Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
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Location | 10257 State Route 3, Red Bud, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1295380863
- Provider Enumeration Date: 08/09/2019
- Last Update Date: 09/24/2025
Medical Identifiers
Medical identifiers for Shyla Rose Bougor such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1295380863 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | 178017516 (Illinois) | Secondary |
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 180015824 (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Shyla Rose Bougor is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Shyla Rose Bougor, LCPC 110 N Florida Ave, Belleville, IL 62221-5430 Ph: (618) 928-0165 | Shyla Rose Bougor, LCPC 10257 State Route 3, Red Bud, IL 62278-4418 Ph: (618) 282-6233 |
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