| Peaceful Haven Counseling, Pllc | |
|
1910 Northwest Blvd Ste 206 Coeur D Alene ID 83814-2676 | |
| (208) 659-0142 | |
| (208) 500-2707 |
| Full Name | Peaceful Haven Counseling, Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 1910 Northwest Blvd Ste 206, Coeur D Alene, Idaho |
| Authorized Official Name and Position | Suzanne M Danner (OWNER) |
| Authorized Official Contact | 2086590142 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Peaceful Haven Counseling, Pllc 5769 N Harcourt Dr Coeur D Alene ID 83815-8470 Ph: (208) 659-0142 | Peaceful Haven Counseling, Pllc 1910 Northwest Blvd Ste 206 Coeur D Alene ID 83814-2676 Ph: (208) 659-0142 |
| NPI Number | 1255027918 |
|---|---|
| Provider Enumeration Date | 04/14/2023 |
| Last Update Date | 04/14/2023 |
| Certification Date | 04/14/2023 |
| Medicare PECOS PAC ID | 6305203282 |
|---|---|
| Medicare Enrollment ID | O20230608000424 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255027918 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Suzanne M Danner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912524497 PECOS PAC ID: 7113384090 Enrollment ID: I20230608000462 |
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