Healing Passages Llc | |
5585 Cove Cir Naples FL 34119-9530 | |
(239) 289-8606 | |
Not Available |
Full Name | Healing Passages Llc |
---|---|
Speciality | Social Worker |
Location | 5585 Cove Cir, Naples, Florida |
Authorized Official Name and Position | Mariana Vandivier (LCSW/OWNER) |
Authorized Official Contact | 2392898606 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Healing Passages Llc 5585 Cove Cir Naples FL 34119-9530 Ph: (239) 289-8606 | Healing Passages Llc 5585 Cove Cir Naples FL 34119-9530 Ph: (239) 289-8606 |
NPI Number | 1457853681 |
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Provider Enumeration Date | 03/04/2018 |
Last Update Date | 09/28/2021 |
Certification Date | 09/28/2021 |
Medicare PECOS PAC ID | 6305109398 |
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Medicare Enrollment ID | O20180404000092 |
Identifier | Type | State | Issuer |
---|---|---|---|
1457853681 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | SW12150 (Florida) | Primary |
Provider Name | Mariana Vandivier |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1538678941 PECOS PAC ID: 2668735655 Enrollment ID: I20220329000857 |
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