| Peaceful Healing Solutions, Llc | |
|
1655 Restarrick Ave South Daytona FL 32119 | |
| (386) 968-2032 | |
| Not Available |
| Full Name | Peaceful Healing Solutions, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 1655 Restarrick Ave, South Daytona, Florida |
| Authorized Official Name and Position | Shelly Stum (OWNER) |
| Authorized Official Contact | 3869682032 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Peaceful Healing Solutions, Llc 1655 Restarrick Ave South Daytona FL 32119 Ph: (386) 968-2032 | Peaceful Healing Solutions, Llc 1655 Restarrick Ave South Daytona FL 32119 Ph: (386) 968-2032 |
| NPI Number | 1710509476 |
|---|---|
| Provider Enumeration Date | 05/15/2020 |
| Last Update Date | 05/15/2020 |
| Certification Date | 05/15/2020 |
| Medicare PECOS PAC ID | 8729401203 |
|---|---|
| Medicare Enrollment ID | O20200701001605 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710509476 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Shelly Stum |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093062952 PECOS PAC ID: 1355764739 Enrollment ID: I20200701001798 |
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