Winter Noel Tucker Hall | Edwardsville, IL • PECOS Search

Winter Noel Tucker Hall

Counselor

Behavioral Health & Social Service Providers

1946 Edwardsville Club Plaza Ct, Edwardsville, IL 62025-3717

(618) 248-2040 (314) 295-1190

PECOS Enrollment

Based on the most recent information from CMS, provider Winter Noel Tucker Hall does not have current enrollment records in PECOS.

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

CMS last updated its PECOS records 5 days ago.

Profile Details

Provider ID
1295407914
Provider Type
Individual
Full Name
Hall, Winter Noel Tucker
Title
Mrs.
Credential
LCPC

Gender
Female
Sole Proprietor
No
Enumeration Date
9/30/2021
Last Updated
9/30/2021

Contact Information

Practice Location

1946 Edwardsville Club Plaza Ct, Edwardsville, IL 62025-3717

Unlisted Fax

Mailing Location

1115 Olive St, Belleville, IL 62220-3873

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YP2500X Primary	Description Counselor Behavioral Health & Social Service Providers	License 180013389 Illinois