The Wildflower Collaborative | |
119 Sader Dr Ste 4 Inwood WV 25428-3915 | |
(240) 406-9339 | |
Not Available |
Full Name | The Wildflower Collaborative |
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Speciality | Social Worker |
Location | 119 Sader Dr Ste 4, Inwood, West Virginia |
Authorized Official Name and Position | Rachel Rhiannon Davis (CLINICAL SOCIAL WORKER) |
Authorized Official Contact | 2404069339 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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The Wildflower Collaborative 119 Sader Dr Ste 4 Inwood WV 25428-3915 Ph: (240) 406-9339 | The Wildflower Collaborative 119 Sader Dr Ste 4 Inwood WV 25428-3915 Ph: (240) 406-9339 |
NPI Number | 1366134561 |
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Provider Enumeration Date | 05/24/2023 |
Last Update Date | 07/21/2023 |
Certification Date | 07/21/2023 |
Medicare PECOS PAC ID | 0244694388 |
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Medicare Enrollment ID | O20230908000126 |
Identifier | Type | State | Issuer |
---|---|---|---|
1366134561 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Rachel Rhiannon Davis |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1285257253 PECOS PAC ID: 1153785290 Enrollment ID: I20230908000180 |
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