| Heartland Counseling Center, Inc | |
|
2320 Dean St Ste 102 St Charles IL 60175-1068 | |
| (630) 443-9100 | |
| (630) 443-9101 |
| Full Name | Heartland Counseling Center, Inc |
|---|---|
| Speciality | Social Worker |
| Location | 2320 Dean St Ste 102, St Charles, Illinois |
| Authorized Official Name and Position | Dawn G Zappiteli (PRESIDENT) |
| Authorized Official Contact | 6304439100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Heartland Counseling Center, Inc 2320 Dean St Ste 102 St Charles IL 60175-1068 Ph: (630) 443-9100 | Heartland Counseling Center, Inc 2320 Dean St Ste 102 St Charles IL 60175-1068 Ph: (630) 443-9100 |
| NPI Number | 1770871725 |
|---|---|
| Provider Enumeration Date | 07/12/2011 |
| Last Update Date | 11/28/2022 |
| Certification Date | 11/28/2022 |
| Medicare PECOS PAC ID | 8426221151 |
|---|---|
| Medicare Enrollment ID | O20111025000704 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770871725 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 149.013399 (Illinois) | Primary |
| Provider Name | Dawn G Zappitelli |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093948507 PECOS PAC ID: 2466592589 Enrollment ID: I20091222000421 |
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