| Pace To Peace Wellness Collective Llc | |
|
3620 Pelham Rd Ste 252 Greenville SC 29615-5044 | |
| (864) 707-1584 | |
| Not Available |
| Full Name | Pace To Peace Wellness Collective Llc |
|---|---|
| Speciality | Social Worker |
| Location | 3620 Pelham Rd Ste 252, Greenville, South Carolina |
| Authorized Official Name and Position | Ashley Denise Harp (CO-OWNERS/CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 8647071584 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pace To Peace Wellness Collective Llc 3620 Pelham Rd Ste 252 Greenville SC 29615-5044 Ph: () - | Pace To Peace Wellness Collective Llc 3620 Pelham Rd Ste 252 Greenville SC 29615-5044 Ph: (864) 707-1584 |
| NPI Number | 1053030544 |
|---|---|
| Provider Enumeration Date | 08/26/2022 |
| Last Update Date | 08/27/2024 |
| Certification Date | 08/27/2024 |
| Medicare PECOS PAC ID | 9032656228 |
|---|---|
| Medicare Enrollment ID | O20240806001629 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053030544 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| Provider Name | Myra Brunson-samuel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013273572 PECOS PAC ID: 7012341969 Enrollment ID: I20191231000315 |
| Provider Name | Ashley Denise Harp |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225376528 PECOS PAC ID: 2062951478 Enrollment ID: I20240829002184 |
| Provider Name | Elizabeth Woods |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144801473 PECOS PAC ID: 2567995632 Enrollment ID: I20241028002837 |
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