| Healing Alternatives Psychotherapy, Llc | |
|
800 Village Square Xing Ste 211 Palm Beach Gardens FL 33410-4540 | |
| (561) 843-3357 | |
| Not Available |
| Full Name | Healing Alternatives Psychotherapy, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 800 Village Square Xing Ste 211, Palm Beach Gardens, Florida |
| Authorized Official Name and Position | Nicole Denise St. John (OWNER) |
| Authorized Official Contact | 5618433357 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Healing Alternatives Psychotherapy, Llc 800 Village Square Xing Ste 211 Palm Beach Gardens FL 33410-4540 Ph: (561) 843-3357 | Healing Alternatives Psychotherapy, Llc 800 Village Square Xing Ste 211 Palm Beach Gardens FL 33410-4540 Ph: (561) 843-3357 |
| NPI Number | 1396384160 |
|---|---|
| Provider Enumeration Date | 12/27/2019 |
| Last Update Date | 05/13/2020 |
| Certification Date | 05/13/2020 |
| Medicare PECOS PAC ID | 9931530995 |
|---|---|
| Medicare Enrollment ID | O20200507003013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396384160 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Nicole D St. John |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295196277 PECOS PAC ID: 6800227760 Enrollment ID: I20200515000634 |
| Provider Name | Mark St. John |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821487315 PECOS PAC ID: 8527499482 Enrollment ID: I20200515000883 |
| Provider Name | Samuel Morrison |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326651829 PECOS PAC ID: 8325494412 Enrollment ID: I20231025003534 |
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