| Inner Peace Counseling, Inc. | |
|
1250 E Business Highway 151 Ste A-3 Platteville WI 53818-3875 | |
| (608) 348-7474 | |
| (608) 348-7117 |
| Full Name | Inner Peace Counseling, Inc. |
|---|---|
| Speciality | Social Worker |
| Location | 1250 E Business Highway 151 Ste A-3, Platteville, Wisconsin |
| Authorized Official Name and Position | Sandra Lynn Anderson (PRESIDENT) |
| Authorized Official Contact | 6083487474 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Inner Peace Counseling, Inc. Po Box 652 Platteville WI 53818-0652 Ph: (608) 348-7474 | Inner Peace Counseling, Inc. 1250 E Business Highway 151 Ste A-3 Platteville WI 53818-3875 Ph: (608) 348-7474 |
| NPI Number | 1164054946 |
|---|---|
| Provider Enumeration Date | 02/10/2020 |
| Last Update Date | 05/18/2020 |
| Certification Date | 05/18/2020 |
| Medicare PECOS PAC ID | 4880022979 |
|---|---|
| Medicare Enrollment ID | O20200324002228 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164054946 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Joanne M Beraldi |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144238056 PECOS PAC ID: 0840278180 Enrollment ID: I20040712001493 |
| Provider Name | Sandra Lynn Anderson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1689685364 PECOS PAC ID: 6507294691 Enrollment ID: I20240214000249 |
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