| Wellness Loft Inc. | |
|
408 South 4th St. Effingham IL 62401 | |
| (217) 347-5118 | |
| (217) 347-7609 |
| Full Name | Wellness Loft Inc. |
|---|---|
| Speciality | Social Worker |
| Location | 408 South 4th St., Effingham, Illinois |
| Authorized Official Name and Position | Amy M Guy (DIRECTOR) |
| Authorized Official Contact | 2173475118 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wellness Loft Inc. 408 S 4th St Effingham IL 62401-3703 Ph: (217) 347-5118 | Wellness Loft Inc. 408 South 4th St. Effingham IL 62401 Ph: (217) 347-5118 |
| NPI Number | 1689926487 |
|---|---|
| Provider Enumeration Date | 10/04/2012 |
| Last Update Date | 01/28/2013 |
| Medicare PECOS PAC ID | 2062665110 |
|---|---|
| Medicare Enrollment ID | O20130123000528 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689926487 | NPI | - | NPPES |
| Provider Name | Julie J Short |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316084288 PECOS PAC ID: 1052415148 Enrollment ID: I20070329000387 |
| Provider Name | Heather L May |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982917456 PECOS PAC ID: 7517120843 Enrollment ID: I20120523000353 |
| Provider Name | Amy Marie Guy |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1013264100 PECOS PAC ID: 2860645926 Enrollment ID: I20240821004335 |
| Provider Name | Michelle Kaye Schultz |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1982673596 PECOS PAC ID: 1052851920 Enrollment ID: I20240905003555 |
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