| Divine Gaia Transpersonal Wellness | |
|
11 Castle Way Carson City NV 89706-1932 | |
| (775) 720-4284 | |
| Not Available |
| Full Name | Divine Gaia Transpersonal Wellness |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 11 Castle Way, Carson City, Nevada |
| Authorized Official Name and Position | Theresa Lynn Simmons (OWNER) |
| Authorized Official Contact | 7757204284 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Divine Gaia Transpersonal Wellness 11 Castle Way Carson City NV 89706-1932 Ph: (775) 720-4284 | Divine Gaia Transpersonal Wellness 11 Castle Way Carson City NV 89706-1932 Ph: (775) 720-4284 |
| NPI Number | 1134499015 |
|---|---|
| Provider Enumeration Date | 01/09/2012 |
| Last Update Date | 12/05/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134499015 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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