| Neuro Harmony Llc | |
|
1836 Victoria Ln Charleston IL 61920-2964 | |
| (217) 508-7953 | |
| Not Available |
| Full Name | Neuro Harmony Llc |
|---|---|
| Speciality | Counselor |
| Location | 1836 Victoria Ln, Charleston, Illinois |
| Authorized Official Name and Position | Pamela Rae Miller (CO-OWNER) |
| Authorized Official Contact | 2175088080 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Neuro Harmony Llc 1836 Victoria Ln Charleston IL 61920-2964 Ph: (217) 508-8080 | Neuro Harmony Llc 1836 Victoria Ln Charleston IL 61920-2964 Ph: (217) 508-7953 |
| NPI Number | 1467885616 |
|---|---|
| Provider Enumeration Date | 08/12/2013 |
| Last Update Date | 07/31/2020 |
| Certification Date | 07/31/2020 |
| Medicare PECOS PAC ID | 7113259631 |
|---|---|
| Medicare Enrollment ID | O20191101000118 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467885616 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Kerrie Jewell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417357054 PECOS PAC ID: 8729403605 Enrollment ID: I20200810001732 |
| Provider Name | Pamela Rae Miller |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1770818155 PECOS PAC ID: 0840522363 Enrollment ID: I20240530004151 |
| Provider Name | Lisa M Rankin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1881751238 PECOS PAC ID: 9931431459 Enrollment ID: I20240530004186 |
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