Inner Light Therapy, Llc | |
3910 Caughey Rd Ste 200 Erie PA 16506-4098 | |
(814) 480-9802 | |
Not Available |
Full Name | Inner Light Therapy, Llc |
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Speciality | Social Worker |
Location | 3910 Caughey Rd Ste 200, Erie, Pennsylvania |
Authorized Official Name and Position | David M Page (CREDENTIALING) |
Authorized Official Contact | 7242973045 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Inner Light Therapy, Llc 3910 Caughey Rd Ste 200 Erie PA 16506-4098 Ph: (814) 480-9802 | Inner Light Therapy, Llc 3910 Caughey Rd Ste 200 Erie PA 16506-4098 Ph: (814) 480-9802 |
NPI Number | 1992497069 |
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Provider Enumeration Date | 05/25/2023 |
Last Update Date | 05/25/2023 |
Certification Date | 05/25/2023 |
Medicare PECOS PAC ID | 5294197802 |
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Medicare Enrollment ID | O20230815000036 |
Identifier | Type | State | Issuer |
---|---|---|---|
1992497069 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Christi L Seth |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1760849749 PECOS PAC ID: 0244591626 Enrollment ID: I20230815000042 |
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