| Innerbloom Healing | |
|
103 Logan St Ste 300 Charleston SC 29401-2066 | |
| (843) 405-7598 | |
| Not Available |
| Full Name | Innerbloom Healing |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 103 Logan St Ste 300, Charleston, South Carolina |
| Authorized Official Name and Position | Juan Pablo Galindo (MEDICAL DIRECTOR) |
| Authorized Official Contact | 9167176226 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Innerbloom Healing 19 Carolina St Charleston SC 29403-4787 Ph: () - | Innerbloom Healing 103 Logan St Ste 300 Charleston SC 29401-2066 Ph: (843) 405-7598 |
| NPI Number | 1912648775 |
|---|---|
| Provider Enumeration Date | 04/05/2022 |
| Last Update Date | 04/05/2022 |
| Certification Date | 04/05/2022 |
| Medicare PECOS PAC ID | 8921479288 |
|---|---|
| Medicare Enrollment ID | O20230124001963 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912648775 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Juan Pablo Galindo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740607670 PECOS PAC ID: 8729386628 Enrollment ID: I20230124001926 |
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