| Chad Welch Llc | |
|
4509 N Illinois St Ste 5 Swansea IL 62226-1524 | |
| (618) 558-0671 | |
| Not Available |
| Full Name | Chad Welch Llc |
|---|---|
| Speciality | Counselor |
| Location | 4509 N Illinois St Ste 5, Swansea, Illinois |
| Authorized Official Name and Position | Chad Welch (OWNER) |
| Authorized Official Contact | 3148841947 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Chad Welch Llc 4509 N Illinois St Ste 5 Swansea IL 62226-1524 Ph: (618) 558-0671 | Chad Welch Llc 4509 N Illinois St Ste 5 Swansea IL 62226-1524 Ph: (618) 558-0671 |
| NPI Number | 1851046270 |
|---|---|
| Provider Enumeration Date | 02/14/2022 |
| Last Update Date | 02/14/2024 |
| Certification Date | 01/15/2024 |
| Medicare PECOS PAC ID | 9032557087 |
|---|---|
| Medicare Enrollment ID | O20240410000055 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851046270 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Chad Thomas Welch |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1861869620 PECOS PAC ID: 0941648992 Enrollment ID: I20240410000071 |
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