NPIMap

Pamela Lugo, BA, MHP

Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Vienna, IL

NPI 1952809170 · NPPES record last updated Jan 23, 2018

Key facts

NPI
1952809170
Entity type
Individual (NPI type 1)
Primary specialty
Addiction (Substance Use Disorder) Counselor 101YA0400X
Practice address
406 E Vine St
Vienna, IL 62995-1612
Phone
(618) 658-3079
Fax
(618) 658-2759
NPI assigned
Jan 23, 2018
Sex
Female
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

  • Arrowleaf Mental Health Clinic/Center (Including Community Mental Health Center) · Vienna, IL · NPI 1114387701
    NPD (past) ADDICTION (SUBSTANCE USE DISORDER)
  • Arrowleaf Mental Health Clinic/Center (Including Community Mental Health Center) · Vienna, IL · NPI 1528215290
    NPD (past) ADDICTION (SUBSTANCE USE DISORDER)

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Bachelor of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Arrowleaf Addiction (Substance Use Disorder) Past Accepting new patients
Arrowleaf Addiction (Substance Use Disorder) Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X Yes

Addresses

Primary practice location

406 E Vine St
Vienna, IL 62995-1612

Mailing address

406 E Vine St
Vienna, IL 62995-1612
Phone (618) 658-3079

Other names

  • Pamela Pluzycki Former name

Other providers in Vienna, IL

All providers in Vienna, IL · Addiction (Substance Use Disorder) Counselor in Illinois

Sources for this page

Verify at the official NPI Registry.