| Alternative Wellness Therapies Pllc | |
|
9950 N Alpine Rd Ste 103 Machesney Park IL 61115-8362 | |
| (815) 200-6444 | |
| (815) 201-1702 |
| Full Name | Alternative Wellness Therapies Pllc |
|---|---|
| Speciality | Counselor |
| Location | 9950 N Alpine Rd Ste 103, Machesney Park, Illinois |
| Authorized Official Name and Position | Marissa Ebert (CO-OWNER/THERAPIST) |
| Authorized Official Contact | 8152006444 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alternative Wellness Therapies Pllc 9950 N Alpine Rd Ste 103 Machesney Park IL 61115-8362 Ph: (815) 200-6444 | Alternative Wellness Therapies Pllc 9950 N Alpine Rd Ste 103 Machesney Park IL 61115-8362 Ph: (815) 200-6444 |
| NPI Number | 1144802794 |
|---|---|
| Provider Enumeration Date | 04/23/2021 |
| Last Update Date | 12/06/2023 |
| Certification Date | 12/06/2023 |
| Medicare PECOS PAC ID | 8628505823 |
|---|---|
| Medicare Enrollment ID | O20241230003257 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144802794 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Celinda Nadine Smith |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1184387102 PECOS PAC ID: 8527410695 Enrollment ID: I20240115001361 |
| Provider Name | Michelle L Petty |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1598030801 PECOS PAC ID: 2264969468 Enrollment ID: I20241230003413 |
Changeworks Counseling Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8022 N 2nd St, Ste B, Machesney Park, IL 61115 Phone: 815-299-1600 | |
Energetics Transformative Counseling Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 9950 N Alpine Rd Ste 103, Machesney Park, IL 61115 Phone: 815-871-4299 |