| Stacy Brown, LCPC | |
|
2323 Windish Drive, Galesburg, IL 61401 | |
| (309) 344-4265 | |
| (309) 344-4281 |
| Full Name | Stacy Brown |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 30 Years |
| Location | 2323 Windish Drive, Galesburg, Illinois |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265976385 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 180010313 (Illinois) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Thriving Sparrow Counseling And Wellness, Pllc | 1153708755 | 5 |
| Entity Name | Bridgeway Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851315535 PECOS PAC ID: 4284627530 Enrollment ID: O20050126000609 |
| Entity Name | Thriving Sparrow Counseling & Wellness, PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619549052 PECOS PAC ID: 1153708755 Enrollment ID: O20220520001083 |
| Mailing Address | Practice Location Address |
|---|---|
| Stacy Brown, LCPC 2323 Windish Dr, Galesburg, IL 61401-9780 Ph: (309) 344-4265 | Stacy Brown, LCPC 2323 Windish Drive, Galesburg, IL 61401 Ph: (309) 344-4265 |
Bailee Shepherd, LCP Counselor Medicare: Not Enrolled in Medicare Practice Location: 2323 Windish Dr, Galesburg, IL 61401 Phone: 309-344-2323 |
Cheryl Majeske, MHP Counselor Medicare: Not Enrolled in Medicare Practice Location: 2323 Windish Dr, Galesburg, IL 61401 Phone: 309-344-2323 Fax: 309-344-4281 |
Julie Schrader, MA Counselor Medicare: Medicare Enrolled Practice Location: 575 N Kellogg St, Suite 4, Galesburg, IL 61401 Phone: 309-343-0800 |
Julie Safranek, MHP Counselor Medicare: Not Enrolled in Medicare Practice Location: 2323 Windish Dr, Galesburg, IL 61401 Phone: 309-344-2323 Fax: 309-344-4281 |
Brenda Harrell, MHP Counselor Medicare: Not Enrolled in Medicare Practice Location: 2323 Windish Dr, Galesburg, IL 61401 Phone: 309-344-2323 Fax: 309-344-4281 |
Kristin Spiegel, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2323 Windish Dr, Galesburg, IL 61401 Phone: 309-344-2323 Fax: 309-344-4281 |
Gregory W Sall, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 2323 Windish Dr, Galesburg, IL 61401 Phone: 309-344-2323 Fax: 309-344-4281 |