| Growing Mindful Dbt And Wellness | |
|
126 Park Plaza Dr Red Bud IL 62278-1084 | |
| (573) 883-0372 | |
| Not Available |
| Full Name | Growing Mindful Dbt And Wellness |
|---|---|
| Speciality | Clinic/Center |
| Location | 126 Park Plaza Dr, Red Bud, Illinois |
| Authorized Official Name and Position | Annamarie K Hess (MSW, LCSW) |
| Authorized Official Contact | 5738830372 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Growing Mindful Dbt And Wellness 6261 Hess Ln Evansville IL 62242-2159 Ph: (573) 883-0372 | Growing Mindful Dbt And Wellness 126 Park Plaza Dr Red Bud IL 62278-1084 Ph: (573) 883-0372 |
| NPI Number | 1881367142 |
|---|---|
| Provider Enumeration Date | 07/31/2021 |
| Last Update Date | 01/27/2022 |
| Certification Date | 01/27/2022 |
| Medicare PECOS PAC ID | 2062805856 |
|---|---|
| Medicare Enrollment ID | O20220128002155 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881367142 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Annamarie Kathleen Hess |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942845714 PECOS PAC ID: 8325474380 Enrollment ID: I20200211001148 |
Comwell Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 10257 State Route Three, Red Bud, IL 62278 Phone: 618-282-6233 | |
Comwell Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 10257 State Route 3, Red Bud, IL 62278 Phone: 618-282-6233 Fax: 618-282-6949 | |
Comwell Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 10257 State Route 3, Red Bud, IL 62278 Phone: 618-282-6233 Fax: 618-282-6949 | |
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