Leigh Ann Calloway, LCPC

Individual provider Active NPI Professional Counselor · Savoy, IL

NPI 1831497775 · NPPES record last updated Jan 4, 2022

Key facts

NPI
1831497775
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
180007668 (IL)
Practice address
405 Newhaven LN
Savoy, IL 61874-9376
Phone
(773) 580-9144
NPI assigned
Mar 1, 2011
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
Part B services: No · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

National Provider Directory

Medicare enrollment (NPD)
Yes

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 180007668 IL Yes

Addresses

Primary practice location

405 Newhaven LN
Savoy, IL 61874-9376

Mailing address

405 Newhaven LN
Savoy, IL 61874-9376
Phone (773) 580-9144

Other providers in Savoy, IL

All providers in Savoy, IL · Professional Counselor in Illinois

Sources for this page

Verify at the official NPI Registry.