| Geomancie Promise Llc With Hellinger Systemic Constellations | |
|
7096 E San Cristobal Way Gold Canyon AZ 85118-1838 | |
| (458) 205-8943 | |
| (458) 210-2788 |
| Full Name | Geomancie Promise Llc With Hellinger Systemic Constellations |
|---|---|
| Speciality | Social Worker |
| Location | 7096 E San Cristobal Way, Gold Canyon, Arizona |
| Authorized Official Name and Position | Bonnie Marie Mcirvin (OWNER) |
| Authorized Official Contact | 5417314256 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Geomancie Promise Llc With Hellinger Systemic Constellations 3741 S Brighton Ln Gilbert AZ 85297-7976 Ph: (458) 205-8943 | Geomancie Promise Llc With Hellinger Systemic Constellations 7096 E San Cristobal Way Gold Canyon AZ 85118-1838 Ph: (458) 205-8943 |
| NPI Number | 1962041889 |
|---|---|
| Provider Enumeration Date | 12/23/2019 |
| Last Update Date | 06/11/2024 |
| Certification Date | 06/11/2024 |
| Medicare PECOS PAC ID | 0840601142 |
|---|---|
| Medicare Enrollment ID | O20201117002375 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962041889 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Bonnie M Mcirvin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487938957 PECOS PAC ID: 0042595860 Enrollment ID: I20170317001649 |
Gold Canyon Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5810 S Alameda Rd, Gold Canyon, AZ 85118 Phone: 480-993-6514 | |
Az Whole Heart Connection, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6641 S Kings Ranch Rd Ste 1, Gold Canyon, AZ 85118 Phone: 480-371-5883 |