| Family Life Consultants, Inc | |
|
2014 Vandalia Collinsville IL 62234 | |
| (618) 345-9536 | |
| (618) 345-9587 |
| Full Name | Family Life Consultants, Inc |
|---|---|
| Speciality | Psychologist |
| Location | 2014 Vandalia, Collinsville, Illinois |
| Authorized Official Name and Position | Sandra J Becker-warden (PRESIDENT) |
| Authorized Official Contact | 6183459536 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Life Consultants, Inc 2014 Vandalia Collinsville IL 62234 Ph: (618) 345-9536 | Family Life Consultants, Inc 2014 Vandalia Collinsville IL 62234 Ph: (618) 345-9536 |
| NPI Number | 1164532248 |
|---|---|
| Provider Enumeration Date | 08/30/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 0840258752 |
|---|---|
| Medicare Enrollment ID | O20041223000152 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164532248 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | Sandra J Becker Warden |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205935350 PECOS PAC ID: 4385602291 Enrollment ID: I20050103000301 |
| Provider Name | Lynn Frances Lauber |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629336813 PECOS PAC ID: 4385033893 Enrollment ID: I20211122001783 |
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