| Creating Peace Of Mind, Llc | |
|
4010 N Illinois St Ste D Swansea IL 62226-1967 | |
| (618) 520-1764 | |
| (618) 825-9400 |
| Full Name | Creating Peace Of Mind, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 4010 N Illinois St Ste D, Swansea, Illinois |
| Authorized Official Name and Position | Robin L Dalske (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 6184081256 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Creating Peace Of Mind, Llc 650 Hillsboro Ave Edwardsville IL 62025-1865 Ph: (618) 520-1764 | Creating Peace Of Mind, Llc 4010 N Illinois St Ste D Swansea IL 62226-1967 Ph: (618) 520-1764 |
| NPI Number | 1427520352 |
|---|---|
| Provider Enumeration Date | 12/17/2018 |
| Last Update Date | 05/02/2024 |
| Certification Date | 05/02/2024 |
| Medicare PECOS PAC ID | 9234465212 |
|---|---|
| Medicare Enrollment ID | O20190729003349 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427520352 | NPI | - | NPPES |
| 1326361502 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Robin L Dalske |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1326361502 PECOS PAC ID: 4385967538 Enrollment ID: I20141219001826 |
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