| Inner Resilience, Llc | |
|
113 Lisa Dr Farmington MO 63640-2703 | |
| (573) 760-6509 | |
| Not Available |
| Full Name | Inner Resilience, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 113 Lisa Dr, Farmington, Missouri |
| Authorized Official Name and Position | Madelyn Fuller Usherwood (OWNER) |
| Authorized Official Contact | 5737606509 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Inner Resilience, Llc 113 Lisa Dr Farmington MO 63640-2703 Ph: (573) 760-6509 | Inner Resilience, Llc 113 Lisa Dr Farmington MO 63640-2703 Ph: (573) 760-6509 |
| NPI Number | 1962104463 |
|---|---|
| Provider Enumeration Date | 03/20/2023 |
| Last Update Date | 03/20/2023 |
| Certification Date | 03/20/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962104463 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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