| Higher Awareness Therapy And Consulting, Llc | |
|
18330 Us Highway 69 Albert Lea MN 56007-5589 | |
| (712) 624-4434 | |
| Not Available |
| Full Name | Higher Awareness Therapy And Consulting, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 18330 Us Highway 69, Albert Lea, Minnesota |
| Authorized Official Name and Position | Brittney Baxter Dameron (OWNER) |
| Authorized Official Contact | 7126244434 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Higher Awareness Therapy And Consulting, Llc Po Box 124 Marne IA 51552-0124 Ph: () - | Higher Awareness Therapy And Consulting, Llc 18330 Us Highway 69 Albert Lea MN 56007-5589 Ph: (712) 624-4434 |
| NPI Number | 1417685868 |
|---|---|
| Provider Enumeration Date | 08/12/2022 |
| Last Update Date | 10/14/2024 |
| Certification Date | 10/14/2024 |
| Medicare PECOS PAC ID | 5092182543 |
|---|---|
| Medicare Enrollment ID | O20221114000453 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417685868 | NPI | - | NPPES |
| 1707264 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Brittney Baxter Dameron |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750714853 PECOS PAC ID: 8224382296 Enrollment ID: I20181109000453 |
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