| Inner Peace Psychiatric Services, Llc | |
|
211 Moser Ave Unit 103 Bullhead City AZ 86429-5249 | |
| (928) 419-1036 | |
| (928) 404-2213 |
| Full Name | Inner Peace Psychiatric Services, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 211 Moser Ave Unit 103, Bullhead City, Arizona |
| Authorized Official Name and Position | Marie Bridget Moran (CEO) |
| Authorized Official Contact | 9284042213 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Inner Peace Psychiatric Services, Llc 211 Moser Ave Unit 103 Bullhead City AZ 86429-5249 Ph: (928) 419-1036 | Inner Peace Psychiatric Services, Llc 211 Moser Ave Unit 103 Bullhead City AZ 86429-5249 Ph: (928) 419-1036 |
| NPI Number | 1669190864 |
|---|---|
| Provider Enumeration Date | 08/15/2022 |
| Last Update Date | 08/15/2022 |
| Certification Date | 08/15/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669190864 | NPI | - | NPPES |
| 1386159440 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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