| Inner Peace Holistic Healing Center Llc | |
|
229 Main St Chadron NE 69337-2355 | |
| (605) 673-7822 | |
| Not Available |
| Full Name | Inner Peace Holistic Healing Center Llc |
|---|---|
| Speciality | Counselor |
| Location | 229 Main St, Chadron, Nebraska |
| Authorized Official Name and Position | Davina Borges (OWNER) |
| Authorized Official Contact | 6056737822 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Inner Peace Holistic Healing Center Llc 202 Maple St Chadron NE 69337-2223 Ph: () - | Inner Peace Holistic Healing Center Llc 229 Main St Chadron NE 69337-2355 Ph: (605) 673-7822 |
| NPI Number | 1083308001 |
|---|---|
| Provider Enumeration Date | 06/05/2023 |
| Last Update Date | 11/22/2024 |
| Certification Date | 11/22/2024 |
| Medicare PECOS PAC ID | 2062947930 |
|---|---|
| Medicare Enrollment ID | O20241202001886 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083308001 | NPI | - | NPPES |
| Provider Name | Davina Borges |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1124447693 PECOS PAC ID: 0244765113 Enrollment ID: I20241202001868 |
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