| Peace Lily Therapy, Pllc | |
|
3144 N Ridgeway Ave Apt 2 Chicago IL 60618-6616 | |
| (828) 337-3223 | |
| Not Available |
| Full Name | Peace Lily Therapy, Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 3144 N Ridgeway Ave Apt 2, Chicago, Illinois |
| Authorized Official Name and Position | Lily Peifer (THERAPIST) |
| Authorized Official Contact | 8283373223 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Peace Lily Therapy, Pllc 3144 N Ridgeway Ave Apt 2 Chicago IL 60618-6616 Ph: (828) 337-3223 | Peace Lily Therapy, Pllc 3144 N Ridgeway Ave Apt 2 Chicago IL 60618-6616 Ph: (828) 337-3223 |
| NPI Number | 1184371809 |
|---|---|
| Provider Enumeration Date | 03/02/2022 |
| Last Update Date | 12/30/2022 |
| Certification Date | 12/30/2022 |
| Medicare PECOS PAC ID | 0244601466 |
|---|---|
| Medicare Enrollment ID | O20230126002380 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184371809 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | Lily Anna Peifer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861994741 PECOS PAC ID: 1052667458 Enrollment ID: I20180627000850 |
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