OrganizationBlakeman Counseling LlcCounselorBehavioral Health & Social Service ProvidersPractice Address2151 W White Oaks Dr Ste D, Springfield, IL 62704-6410(217) 779-7496PECOS EnrollmentBased on the most recent information from CMS, provider Blakeman Counseling Llc 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 ID1124615299Provider TypeOrganizationFull NameBlakeman Counseling LlcSubpartNoEnumeration Date12/23/2020Last Updated4/30/2022Contact InformationPractice LocationPractice Address2151 W White Oaks Dr Ste D, Springfield, IL 62704-6410Phone(217) 779-7496FaxUnlisted FaxMailing LocationMailing Address1717 Cuddy Dr, Chatham, IL 62629-6000Phone(217) 779-7496FaxUnlisted FaxAuthorized OfficialNameBlakeman, Jamie Lee (Owner)Phone(217) 779-7496Provider TaxonomiesCodeDescriptionLicenseCode101YP2500XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer