Christy Price Lcsw Llc | |
916 Wynterbrooke Dr Kokomo IN 46901-7745 | |
(765) 776-0032 | |
Not Available |
Full Name | Christy Price Lcsw Llc |
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Speciality | Social Worker |
Location | 916 Wynterbrooke Dr, Kokomo, Indiana |
Authorized Official Name and Position | Christina A Price (PRESIDENT) |
Authorized Official Contact | 7657760032 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Christy Price Lcsw Llc 916 Wynterbrooke Dr Kokomo IN 46901-7745 Ph: (765) 776-0032 | Christy Price Lcsw Llc 916 Wynterbrooke Dr Kokomo IN 46901-7745 Ph: (765) 776-0032 |
NPI Number | 1912770132 |
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Provider Enumeration Date | 10/31/2023 |
Last Update Date | 10/31/2023 |
Certification Date | 10/29/2023 |
Medicare PECOS PAC ID | 7719322916 |
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Medicare Enrollment ID | O20240227004267 |
Identifier | Type | State | Issuer |
---|---|---|---|
1912770132 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Christina Price |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1851750301 PECOS PAC ID: 1355649732 Enrollment ID: I20160419000781 |
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