| Passion For Living Counseling Services Llc | |
|
2535 Bethany Rd Ste 210 Sycamore IL 60178-3126 | |
| (815) 508-6544 | |
| Not Available |
| Full Name | Passion For Living Counseling Services Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 2535 Bethany Rd Ste 210, Sycamore, Illinois |
| Authorized Official Name and Position | Lorre A Hunter (LICENSED CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 8155086544 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Passion For Living Counseling Services Llc 2535 Bethany Rd Ste 201 Sycamore IL 60178-3126 Ph: (815) 508-6544 | Passion For Living Counseling Services Llc 2535 Bethany Rd Ste 210 Sycamore IL 60178-3126 Ph: (815) 508-6544 |
| NPI Number | 1457869679 |
|---|---|
| Provider Enumeration Date | 01/22/2018 |
| Last Update Date | 06/27/2023 |
| Certification Date | 06/27/2023 |
| Medicare PECOS PAC ID | 6800158833 |
|---|---|
| Medicare Enrollment ID | O20180402001930 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457869679 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Lorre A Hunter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932519543 PECOS PAC ID: 7911290861 Enrollment ID: I20160729000751 |
| Provider Name | John W Watson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952787137 PECOS PAC ID: 9739553454 Enrollment ID: I20230321001121 |
| Provider Name | Kelly Norton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194147744 PECOS PAC ID: 6800261967 Enrollment ID: I20230404001281 |
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