| Path To Healing And Wellness Pllc | |
|
400 5th St Ste 192 Peru IL 61354-2876 | |
| (815) 303-0718 | |
| Not Available |
| Full Name | Path To Healing And Wellness Pllc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 400 5th St Ste 192, Peru, Illinois |
| Authorized Official Name and Position | Kimberly Mercer (THERAPIST) |
| Authorized Official Contact | 8153100718 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Path To Healing And Wellness Pllc 400 5th St Ste 192 Peru IL 61354-2876 Ph: (815) 310-0718 | Path To Healing And Wellness Pllc 400 5th St Ste 192 Peru IL 61354-2876 Ph: (815) 303-0718 |
| NPI Number | 1225736267 |
|---|---|
| Provider Enumeration Date | 02/20/2023 |
| Last Update Date | 12/29/2023 |
| Certification Date | 12/29/2023 |
| Medicare PECOS PAC ID | 8729422605 |
|---|---|
| Medicare Enrollment ID | O20240219003197 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225736267 | NPI | - | NPPES |
| 1275706053 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Kimberly Ann Mercer |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1275706053 PECOS PAC ID: 9638513518 Enrollment ID: I20240219003263 |
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