Inner Peace Pastoral Counseling Pllc | |
221 S Bickford Ave El Reno OK 73036-2756 | |
(405) 820-6992 | |
Not Available |
Full Name | Inner Peace Pastoral Counseling Pllc |
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Speciality | Counselor |
Location | 221 S Bickford Ave, El Reno, Oklahoma |
Authorized Official Name and Position | Mark David Heaney (THERAPIST) |
Authorized Official Contact | 4058206992 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Inner Peace Pastoral Counseling Pllc 1605 Professional Cir Yukon OK 73099-6314 Ph: (405) 820-6992 | Inner Peace Pastoral Counseling Pllc 221 S Bickford Ave El Reno OK 73036-2756 Ph: (405) 820-6992 |
NPI Number | 1801929781 |
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Provider Enumeration Date | 03/13/2007 |
Last Update Date | 11/06/2007 |
Medicare PECOS PAC ID | 5193175834 |
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Medicare Enrollment ID | O20231221001691 |
Identifier | Type | State | Issuer |
---|---|---|---|
1801929781 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 3102 (Oklahoma) | Primary |
Provider Name | Mark David Heaney |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1902088032 PECOS PAC ID: 6002266749 Enrollment ID: I20231221001777 |
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