Individual ProviderKathleen Ann SeelbachCounselorBehavioral Health & Social Service ProvidersPractice Address2201 W Lawrence Ave, Springfield, IL 62704-1418(217) 971-0169PECOS EnrollmentBased on the most recent information from CMS, provider Kathleen Ann Seelbach does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1063129765Provider TypeIndividualFull NameSeelbach, Kathleen AnnCredentialLCPCGenderFemaleSole ProprietorYesEnumeration Date11/2/2022Last Updated11/2/2022Contact InformationPractice LocationPractice Address2201 W Lawrence Ave, Springfield, IL 62704-1418Phone(217) 971-0169FaxUnlisted FaxMailing LocationMailing Address2201 W Lawrence Ave, Springfield, IL 62704-1418Phone(217) 971-0169FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YP2500XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicense180-003843IllinoisProvider IdentifiersIDDescriptionIssuerID180-003843DescriptionOtherIssuerILLINOIS DEPT OF FINANCIAL AND PROFESSIONAL REGULATIONIllinois