| Peaceful Journey's Counseling, Llc | |
|
179 W Chestnut Hill Rd Ste 5 Newark DE 19713-2210 | |
| (302) 894-2107 | |
| (302) 355-4092 |
| Full Name | Peaceful Journey's Counseling, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 179 W Chestnut Hill Rd Ste 5, Newark, Delaware |
| Authorized Official Name and Position | Scott Chain (OFFICE MANAGER) |
| Authorized Official Contact | 3028942107 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Peaceful Journey's Counseling, Llc 179 W Chestnut Hill Rd Ste 5 Newark DE 19713-2210 Ph: (302) 894-2107 | Peaceful Journey's Counseling, Llc 179 W Chestnut Hill Rd Ste 5 Newark DE 19713-2210 Ph: (302) 894-2107 |
| NPI Number | 1700519840 |
|---|---|
| Provider Enumeration Date | 07/06/2022 |
| Last Update Date | 07/27/2023 |
| Certification Date | 07/14/2023 |
| Medicare PECOS PAC ID | 5890155642 |
|---|---|
| Medicare Enrollment ID | O20230712002730 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700519840 | NPI | - | NPPES |
| 375407 | Medicaid | DE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Kim Reynolds |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558516427 PECOS PAC ID: 5597890541 Enrollment ID: I20100317000037 |
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