| Jannah Therapy & Healing Services Llc | |
|
2322 Golden Bay Ln Richmond TX 77469-2193 | |
| (404) 917-7531 | |
| Not Available |
| Full Name | Jannah Therapy & Healing Services Llc |
|---|---|
| Speciality | Social Worker |
| Location | 2322 Golden Bay Ln, Richmond, Texas |
| Authorized Official Name and Position | Amina Ishaq (OWNER) |
| Authorized Official Contact | 4049177531 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jannah Therapy & Healing Services Llc 2322 Golden Bay Ln Richmond TX 77469-2193 Ph: (404) 917-7531 | Jannah Therapy & Healing Services Llc 2322 Golden Bay Ln Richmond TX 77469-2193 Ph: (404) 917-7531 |
| NPI Number | 1427794304 |
|---|---|
| Provider Enumeration Date | 05/12/2022 |
| Last Update Date | 05/12/2022 |
| Certification Date | 05/12/2022 |
| Medicare PECOS PAC ID | 5991181265 |
|---|---|
| Medicare Enrollment ID | O20221011000608 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427794304 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Amina Ishaq |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295477107 PECOS PAC ID: 6800272170 Enrollment ID: I20221011000687 |
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