OrganizationMontvale Counseling CenterCounselorBehavioral Health & Social Service ProvidersPractice Address3050 Montvale Dr, Suite D, Springfield, IL 62704-4290(217) 793-2770PECOS EnrollmentBased on the most recent information from CMS, provider Montvale Counseling Center 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 ID1225270614Provider TypeOrganizationFull NameMontvale Counseling CenterSubpartNoEnumeration Date3/31/2009Last Updated3/31/2009Contact InformationPractice LocationPractice Address3050 Montvale Dr, Suite D, Springfield, IL 62704-4290Phone(217) 793-2770FaxUnlisted FaxMailing LocationMailing Address3050 Montvale Dr, Suite D, Springfield, IL 62704-4290Phone(217) 793-2770FaxUnlisted FaxAuthorized OfficialNameWagner, Karen (Office Manager)Phone(217) 836-3501Provider TaxonomiesCodeDescriptionLicenseCode101YP2500XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicense180002534Illinois