| Hollie F Campbell | |
|
186 Holbrook Rd Chicago Heights IL 60411-6617 | |
| (708) 507-5543 | |
| Not Available |
| Full Name | Hollie F Campbell |
|---|---|
| Speciality | Counselor |
| Location | 186 Holbrook Rd, Chicago Heights, Illinois |
| Authorized Official Name and Position | Hollie F Campbell (OWNER) |
| Authorized Official Contact | 7085075543 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hollie F Campbell 186 Holbrook Rd Chicago Heights IL 60411-6617 Ph: (708) 507-5543 | Hollie F Campbell 186 Holbrook Rd Chicago Heights IL 60411-6617 Ph: (708) 507-5543 |
| NPI Number | 1174332951 |
|---|---|
| Provider Enumeration Date | 01/06/2025 |
| Last Update Date | 01/06/2025 |
| Certification Date | 01/06/2025 |
| Medicare PECOS PAC ID | 3971024530 |
|---|---|
| Medicare Enrollment ID | O20250311003749 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174332951 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Hollie F Campbell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1659833788 PECOS PAC ID: 9436670098 Enrollment ID: I20250311003714 |
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