| Amanda Lewis, Msw, Lcsw, Llc | |
|
1161 Fortune Blvd Suite 400 Shiloh IL 62269-7385 | |
| (618) 334-5571 | |
| Not Available |
| Full Name | Amanda Lewis, Msw, Lcsw, Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 1161 Fortune Blvd, Shiloh, Illinois |
| Authorized Official Name and Position | Amanda Rose Lewis (MANAGING MEMBER) |
| Authorized Official Contact | 6183345571 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Amanda Lewis, Msw, Lcsw, Llc 1161 Fortune Blvd Suite 400 Shiloh IL 62269-7385 Ph: (618) 334-5571 | Amanda Lewis, Msw, Lcsw, Llc 1161 Fortune Blvd Suite 400 Shiloh IL 62269-7385 Ph: (618) 334-5571 |
| NPI Number | 1598110124 |
|---|---|
| Provider Enumeration Date | 05/02/2016 |
| Last Update Date | 05/02/2016 |
| Medicare PECOS PAC ID | 9133411986 |
|---|---|
| Medicare Enrollment ID | O20160714001602 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598110124 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 149.018245 (Illinois) | Primary |
| Provider Name | Amanda R Lewis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518360171 PECOS PAC ID: 8123318847 Enrollment ID: I20160608000397 |
Amanda Benson Counseling, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1161 Fortune Blvd Ste 400, Shiloh, IL 62269 Phone: 618-830-8146 Fax: 618-206-8476 | |
Earth Water Air Counseling, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1161 Fortune Blvd Ste 200, Shiloh, IL 62269 Phone: 618-777-6670 Fax: 877-811-5628 | |
Ingram Counseling Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1161 Fortune Blvd Ste 400, Shiloh, IL 62269 Phone: 314-722-8281 Fax: 618-206-8476 | |
Behavior Consulting, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1518 Manchester Dr, Shiloh, IL 62269 Phone: 618-622-5120 |