| Compassionate Inner Awakenings Counseling, Llc | |
|
1531 W 32nd St Ste 208b Joplin MO 64804-1889 | |
| (417) 499-3673 | |
| Not Available |
| Full Name | Compassionate Inner Awakenings Counseling, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 1531 W 32nd St Ste 208b, Joplin, Missouri |
| Authorized Official Name and Position | Matthew Aaron Porte (PSYCHOTHERAPIST) |
| Authorized Official Contact | 4174993673 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Compassionate Inner Awakenings Counseling, Llc 1531 W 32nd St Ste 208b Joplin MO 64804-1611 Ph: (417) 499-3673 | Compassionate Inner Awakenings Counseling, Llc 1531 W 32nd St Ste 208b Joplin MO 64804-1889 Ph: (417) 499-3673 |
| NPI Number | 1164138954 |
|---|---|
| Provider Enumeration Date | 01/25/2023 |
| Last Update Date | 10/26/2023 |
| Certification Date | 10/26/2023 |
| Medicare PECOS PAC ID | 9739535576 |
|---|---|
| Medicare Enrollment ID | O20231030003279 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164138954 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Matthew A Porte |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942617279 PECOS PAC ID: 1557636586 Enrollment ID: I20171002001259 |
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