| Inner Awakening Counseling & Consultation, Pllc | |
|
115 Aikens Ctr Ste 14 Martinsburg WV 25404-6210 | |
| (304) 820-9365 | |
| (304) 820-9365 |
| Full Name | Inner Awakening Counseling & Consultation, Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 115 Aikens Ctr Ste 14, Martinsburg, West Virginia |
| Authorized Official Name and Position | Daniel A. Speis (OWNER) |
| Authorized Official Contact | 3048209365 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Inner Awakening Counseling & Consultation, Pllc 115 Aikens Ctr Ste 14 Martinsburg WV 25404-6210 Ph: (304) 820-9365 | Inner Awakening Counseling & Consultation, Pllc 115 Aikens Ctr Ste 14 Martinsburg WV 25404-6210 Ph: (304) 820-9365 |
| NPI Number | 1801337100 |
|---|---|
| Provider Enumeration Date | 03/20/2017 |
| Last Update Date | 03/20/2017 |
| Medicare PECOS PAC ID | 4688930043 |
|---|---|
| Medicare Enrollment ID | O20171117001798 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801337100 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | DP00942760 (West Virginia) | Primary |
| Provider Name | Daniel Aaron Speis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306382502 PECOS PAC ID: 8426327511 Enrollment ID: I20171117001852 |
| Provider Name | Richard L Warren |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881749265 PECOS PAC ID: 2860633260 Enrollment ID: I20180814002431 |
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