| Abigail Mitchell Lcpc LLC | |
|
1900 Ogden Ave Ste 106 Aurora IL 60504-4284 | |
| (815) 370-5212 | |
| (630) 256-8009 |
| Full Name | Abigail Mitchell Lcpc LLC |
|---|---|
| Speciality | Clinic/Center |
| Location | 1900 Ogden Ave Ste 106, Aurora, Illinois |
| Authorized Official Name and Position | Abigail L Mitchell-lockwood (LICENSED COUNSELOR) |
| Authorized Official Contact | 8153705212 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Abigail Mitchell Lcpc LLC 461 Breckenridge Dr Aurora IL 60504-5265 Ph: (815) 370-5212 | Abigail Mitchell Lcpc LLC 1900 Ogden Ave Ste 106 Aurora IL 60504-4284 Ph: (815) 370-5212 |
| NPI Number | 1649037987 |
|---|---|
| Provider Enumeration Date | 03/04/2024 |
| Last Update Date | 08/15/2025 |
| Certification Date | 08/15/2025 |
| Medicare PECOS PAC ID | 5395234686 |
|---|---|
| Medicare Enrollment ID | O20251028001387 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649037987 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | () | Primary |
| Provider Name | Abigail L Mitchell'lockwood |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1619273711 PECOS PAC ID: 6204325590 Enrollment ID: I20251028001452 |
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