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Briana L Venable

Counselor

Behavioral Health & Social Service Providers

3132 Old Jacksonville Rd Ste 200, Springfield, IL 62704-7401

PECOS Enrollment

This provider is enrolled in PECOS as BRIANA VENABLE.

Based on the most recent information from CMS, provider Briana L Venable is legally eligible to order and refer claims for Part B and DME services only.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1134753353
Provider Type
Individual
Full Name
Venable, Briana L
Credential
LCPC

Gender
Female
Sole Proprietor
No
Enumeration Date
2/26/2020
Last Updated
2/26/2020

Contact Information

Practice Location

3132 Old Jacksonville Rd Ste 200, Springfield, IL 62704-7401

(217) 862-0800

(217) 862-0871

Mailing Location

PO Box 3428, Springfield, IL 62708-3428

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YP2500X Primary	Description Counselor Behavioral Health & Social Service Providers	License 180.011173 Illinois

Provider Identifiers

ID	Description	Issuer
ID 180.011173	Description Other	Issuer LCPC LICENSE Illinois

Briana L Venable

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

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Balm Wellness Llc

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Vandeveer, Vicki L

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Marvel, Angela

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Nightingale-Follis, Noel