| Melissa Shane Counseling Services Llc | |
|
6919 N Knoxville Ave Ste 100 Peoria IL 61614-2858 | |
| (309) 369-3498 | |
| (309) 966-0266 |
| Full Name | Melissa Shane Counseling Services Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 6919 N Knoxville Ave Ste 100, Peoria, Illinois |
| Authorized Official Name and Position | Melissa Ann Shane (OWNER) |
| Authorized Official Contact | 3093693498 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Melissa Shane Counseling Services Llc 6919 N Knoxville Ave Ste 100 Peoria IL 61614-2858 Ph: (309) 369-3498 | Melissa Shane Counseling Services Llc 6919 N Knoxville Ave Ste 100 Peoria IL 61614-2858 Ph: (309) 369-3498 |
| NPI Number | 1083125298 |
|---|---|
| Provider Enumeration Date | 10/14/2017 |
| Last Update Date | 10/14/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083125298 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 180008837 (Illinois) | Primary |
Human Service Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1005 Ne Jefferson Ave, Peoria, IL 61603 Phone: 309-671-8005 | |
Pschertz Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5016 N University St Ste 101, Peoria, IL 61614 Phone: 309-373-0153 | |
Melissa Millinger Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1013 W Cordell Ave, Peoria, IL 61614 Phone: 309-264-8783 | |
Easter Seals - Ucp Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 507 E Armstrong Ave, Peoria, IL 61603 Phone: 309-686-1177 Fax: 309-686-7722 | |
Human Service Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2101 W Willow Knolls Dr, Peoria, IL 61614 Phone: 309-671-8000 | |
Miriam Geiger Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3112 N North St, Peoria, IL 61604 Phone: 510-684-9063 |