PACEM WELLNESS, LLC (NPI# 1942817150) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942817150 |
| Entity Type | Organization |
| Organization Name | PACEM WELLNESS, LLC |
| Practice Address |
8 Eagle Ctr Ste 12 O Fallon IL 62269-1947 |
| Mailing Address |
1329 Pepperidge Dr O Fallon IL 62269-3041 |
| Practice Telephone | 3174519298 |
| Mailing Telephone | 3179655944 |
| Enumeration Date | 2020-09-30 |
| Last Update Date | 2020-09-30 |
| Authorized Official Name | RENATA B SLEDGE (OWNER) |
| Authorized Official Telephone | 3179655944 |
| Authorized Official Credential | MSW, LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Street Address |
8 EAGLE CTR STE 12 |
| City | O FALLON |
| State | IL |
| Zip Code | 62269-1947 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326648155 | Kayla Revermann | Pharmacist | 1350 W Us Highway 50, Pharmacy, O Fallon, IL 62269 | 2020-10-30 |
| 1942814272 | Ashley Monique Gibson | Behavior Technician | Eagle Center, Ste 10, Ofallon, IL 62269 | 2020-09-03 |
| 1013533819 | Michelle Denise Voudrie | Registered Nurse | 321 Regency Park, O'fallon, IL 62269 | 2020-06-18 |
| 1598398455 | Washington University Physicians In Illinois - Cancer Center Pharmacy | Pharmacy | 1418 Cross Street, Suite 180, Shiloh, IL 62269 | 2020-02-19 |
| 1962063800 | Gerald Paskert | Pharmacist | 122 W. State St., O'fallon, IL 62269 | 2019-06-21 |
| 1780144808 | Bonnie Jean Lampe | Physical Therapy Assistant | 316 Donna Dr, O'fallon, IL 62269 | 2019-03-24 |
| 1134633993 | Latisha Smith | Psychologist | 600 S. Smiley St., O'fallon, IL 62269 | 2017-11-30 |
| 1619407210 | Brenna M Thomas | Registered Nurse | 1310 Engle Ct, O'fallon, IL 62269 | 2017-06-15 |
| 1881135622 | Pc Associates, LLC | Family Medicine | 800 East Highway 50, O'fallon, IL 62269 | 2017-03-13 |
| 1700230539 | Jennifer Farrell | Family Medicine | 3 St. Elizabeth's Blvd, Ste. 4000, O'fallon, IL 62269 | 2016-04-18 |
| Find all providers in zip 62269 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528622446 | Compassion Care Homes LLC | Community/Behavioral Health | 109 Cobble Rd, O Fallon, MO 63366-4107 | 2019-04-25 |
| 1518251073 | Bjc Behavioral Health | Community/Behavioral Health | 233 Savannah Garden Dr, O Fallon, MO 63366-3220 | 2011-06-01 |
| 1104423979 | Paws and Play Counseling LLC | Community/Behavioral Health | 210 Thorn Brook Dr, O Fallon, MO 63366-4975 | 2020-10-05 |
| 1063078020 | Leia Stein Counseling LLC | Community/Behavioral Health | 785 Wall St Ste 200, O Fallon, IL 62269-1959 | 2019-05-15 |
| 1508350133 | Anit Care Services of Illinois | Community/Behavioral Health | 10 Brandonwood Dr, O Fallon, IL 62269-1208 | 2018-06-18 |
| 1215317144 | Dana Miller | Community/Behavioral Health | 785 Wall St, Suite 200, O Fallon, IL 62269-1959 | 2015-06-05 |
| 1568858645 | James Morgan | Community/Behavioral Health | 1031 Peruque Crossing Ct, O Fallon, MO 63366-2362 | 2015-04-15 |
| 1811304181 | Balanced Solutions Counseling, LLC | Community/Behavioral Health | 8 Eagle Ctr, Suite 6, O Fallon, IL 62269-1947 | 2014-07-17 |
| 1821437161 | Center for Autism Education | Community/Behavioral Health | 105 Sheriff Dierker Ct, O Fallon, MO 63366-2468 | 2013-06-20 |
| 1316294630 | Counseling St. Charles, LLC | Community/Behavioral Health | 225 S Main St, Ste 103, O Fallon, MO 63366-2866 | 2012-08-06 |
| Find all providers in O FALLON | ||||
Please comment or provide details below to improve the information on PACEM WELLNESS, LLC.
| 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.