CONNIE DECKARD


Address: Lawrence County Health Department Behavior Health, 11020 State Route 250, Lawrenceville, IL 62439
Phone: 6189433754

CONNIE DECKARD (NPI# 1962063354) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1962063354
Entity Type Individual
Full Name CONNIE DECKARD
Credential MA
Practice Address Lawrence County Health Department Behavior Health
11020 State Route 250
Lawrenceville
IL 62439
Mailing Address P.o. Box 516
Lawrenceville
IL 62439
Practice Telephone 6189433754
Practice Fax Number 6189433657
Mailing Telephone 6189433302
Mailing Fax Number 6189437589
Enumeration Date 2019-06-26
Last Update Date 2019-06-26
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
IL Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
IL 3760061789008 05

Office Location

Street Address LAWRENCE COUNTY HEALTH DEPARTMENT BEHAVIOR HEALTH
11020 STATE ROUTE 250
City LAWRENCEVILLE
State IL
Zip Code 62439

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1801406590 Allyson Fiscus Nurse Practitioner 11020 Il-250, Lawrenceville, IL 62439 2020-08-06
1164071700 Lauren E Welton Case Manager/Care Coordinator 11362 Country Club Road, Lawrenceville, IL 62439 2019-09-06
1225485527 Megan Joergens Social Worker 11120 State Route 250, Lawrenceville, IL 62439 2016-05-17
1235509456 Christy M Wimberly Private Vehicle 1417 Dubios St., Lawrenceville, IL 62439 2015-09-30
1144637521 Joy Singson Uy Physical Therapist 2101 James St United Methodist Village North, Lawrenceville, IL 62439 2014-07-17
1760791792 Lawrence Co Secured Medical Transport (VAN) 2009 Lexington Ave, Lawrenceville, IL 62439 2010-09-24
1134358922 Lawrence County Health Department Public Health or Welfare Rural Route3 Box 430, Lawrenceville, IL 62439 2009-07-14
1366678161 Judith Joan Phipps Counselor Rr1 Box 277, Lawrenceville, IL 62439 2009-06-08
1366648784 S. Hurn Baek Radiology Lawrence County Memorial Hospital, Radiology, 2200 W. State St., Lawrenceville, IL 62439 2007-06-22
1629162078 Lawrence Ccud Local Education Agency (LEA) 1802 Cedar St, Lawrenceville, IL 62439 2006-10-02
Find all providers in zip 62439

Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1134735202 Lighthouse Family Service Center Counselor 150 Stanley Ct Ste B, Lawrenceville, GA 30046-5215 2020-09-23
1285248005 Laura Meeks Counselor 1929 Whitehawk Ct, Lawrenceville, GA 30043-6641 2020-08-31
1184237125 Luz Melania Soto Garcia Counselor 760 Longleaf Blvd Ste A, Lawrenceville, GA 30046-8458 2020-08-28
1366001695 Holton Ariel Daniel Counselor 233 N Main St Ste B, Lawrenceville, VA 23868-1807 2019-06-11
1326603119 Easter's Family Services Counselor 102 E Hicks St Ste 303, Lawrenceville, VA 23868-1830 2019-05-07
1023577053 Brittany Williams Counselor 175 Gwinnet Drive, Lawrenceville, GA 30046-8444 2019-03-19
1699230052 Josephine Lola Banjoko Counselor 1402 Park Hollow Ln, Lawrenceville, GA 30043-3878 2019-02-09
1285104315 Shalanda Monique Booker Counselor 2940 Emerald Springs Drive, Lawrenceville, GA 30045 2018-12-02
1902376551 Lekicha Monique Cabiness Counselor 102 Hicks St. Suite 303, Lawrenceville, VA 23868 2018-11-27
1770079196 Nathalia Lopez Counselor 1 Vanderveer Dr, Lawrenceville, NJ 08648-3113 2018-07-09
Find all providers in LAWRENCEVILLE

Competitor

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City LAWRENCEVILLE
Zip Code 62439

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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