Theodore Lewis Harvey | Springfield, IL • PECOS Search

Theodore Lewis Harvey

Counselor

Behavioral Health & Social Service Providers

1700 S Spring St, Springfield, IL 62704-3961

(217) 473-8117 (217) 675-2042

PECOS Enrollment

Based on the most recent information from CMS, provider Theodore Lewis Harvey 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 yesterday at 12:57 PM.

Profile Details

Provider ID
1881744340
Provider Type
Individual
Full Name
Harvey, Theodore Lewis
Title
Mr.
Credential
LCPC

Gender
Male
Sole Proprietor
No
Enumeration Date
1/10/2007
Last Updated
7/8/2007

Contact Information

Practice Location

1700 S Spring St, Springfield, IL 62704-3961

(217) 243-8050

Mailing Location

218 Main Street, P.O.Box 68, Franklin, IL 62638

Unlisted Fax

Provider Taxonomies

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