| New Seasons Counseling | |
|
115 Lincoln Place Ct Ste 102 Belleville IL 62221-5876 | |
| (252) 777-2387 | |
| Not Available |
| Full Name | New Seasons Counseling |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 115 Lincoln Place Ct Ste 102, Belleville, Illinois |
| Authorized Official Name and Position | Kelsey Leigh Quade (OWNER) |
| Authorized Official Contact | 6189202876 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| New Seasons Counseling 115 Lincoln Place Ct Ste 102 Belleville IL 62221-5876 Ph: (252) 777-2387 | New Seasons Counseling 115 Lincoln Place Ct Ste 102 Belleville IL 62221-5876 Ph: (252) 777-2387 |
| NPI Number | 1255104212 |
|---|---|
| Provider Enumeration Date | 11/01/2023 |
| Last Update Date | 09/12/2024 |
| Certification Date | 09/12/2024 |
| Medicare PECOS PAC ID | 8921455643 |
|---|---|
| Medicare Enrollment ID | O20241010000451 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255104212 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Kelsey Leigh Quade |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1942617394 PECOS PAC ID: 9830546555 Enrollment ID: I20241010000647 |
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