| Calmwaters Counseling And Resource Center, Inc. | |
|
5090 Humbert Rd Alton IL 62002 | |
| (618) 466-0295 | |
| (618) 551-2676 |
| Full Name | Calmwaters Counseling And Resource Center, Inc. |
|---|---|
| Speciality | Counselor |
| Location | 5090 Humbert Rd, Alton, Illinois |
| Authorized Official Name and Position | Amy Lynn Minor (PRESIDENT/OWNER) |
| Authorized Official Contact | 6185678650 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Calmwaters Counseling And Resource Center, Inc. Po Box 786 Godfrey IL 62035 Ph: (618) 466-0295 | Calmwaters Counseling And Resource Center, Inc. 5090 Humbert Rd Alton IL 62002 Ph: (618) 466-0295 |
| NPI Number | 1134505829 |
|---|---|
| Provider Enumeration Date | 08/04/2015 |
| Last Update Date | 01/15/2024 |
| Certification Date | 01/15/2024 |
| Medicare PECOS PAC ID | 6800103466 |
|---|---|
| Medicare Enrollment ID | O20150914002590 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134505829 | NPI | - | NPPES |
| Provider Name | Brianna M F Phillips |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457624108 PECOS PAC ID: 8729242417 Enrollment ID: I20120608000247 |
| Provider Name | Patricia Gregory |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962856310 PECOS PAC ID: 2567702392 Enrollment ID: I20190314000487 |
| Provider Name | Lori Behrens |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760522965 PECOS PAC ID: 8426390782 Enrollment ID: I20190507001469 |
| Provider Name | Amy Lynn Minor |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1992249742 PECOS PAC ID: 4082067814 Enrollment ID: I20240129002778 |
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