Bridgewater Counseling Services, Llc | |
4010 N Illinois St Ste 1 Swansea IL 62226-1967 | |
(618) 407-0900 | |
Not Available |
Full Name | Bridgewater Counseling Services, Llc |
---|---|
Speciality | Social Worker - Clinical |
Location | 4010 N Illinois St Ste 1, Swansea, Illinois |
Authorized Official Name and Position | Renee Marie Keller (PRINCIPAL) |
Authorized Official Contact | 6185203339 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Bridgewater Counseling Services, Llc 4010 N Illinois St Ste 1 Swansea IL 62226-1967 Ph: (618) 407-0900 | Bridgewater Counseling Services, Llc 4010 N Illinois St Ste 1 Swansea IL 62226-1967 Ph: (618) 407-0900 |
NPI Number | 1144847880 |
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Provider Enumeration Date | 06/29/2020 |
Last Update Date | 06/29/2020 |
Certification Date | 06/29/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1144847880 | NPI | - | NPPES |
149015007 | Other | IL | PROFESSIONAL LICENSE |
1487841714 | Other | NPI | |
2012036897 | Other | MO | PROFESSIONAL CLINICAL SOCIAL WORK LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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