| Peaceful Living Counseling Services Llc | |
|
12 Reckless Pl Red Bank NJ 07701-1704 | |
| (732) 320-0955 | |
| Not Available |
| Full Name | Peaceful Living Counseling Services Llc |
|---|---|
| Speciality | Social Worker |
| Location | 12 Reckless Pl, Red Bank, New Jersey |
| Authorized Official Name and Position | Gail P Lovallo (OWNER) |
| Authorized Official Contact | 7323200955 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Peaceful Living Counseling Services Llc 19 Acorn Dr Middletown NJ 07748-2219 Ph: (732) 320-0955 | Peaceful Living Counseling Services Llc 12 Reckless Pl Red Bank NJ 07701-1704 Ph: (732) 320-0955 |
| NPI Number | 1831515568 |
|---|---|
| Provider Enumeration Date | 03/05/2014 |
| Last Update Date | 03/05/2014 |
| Medicare PECOS PAC ID | 0345466926 |
|---|---|
| Medicare Enrollment ID | O20140717001815 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831515568 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Gail P Lovallo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134390180 PECOS PAC ID: 3971667445 Enrollment ID: I20090128000069 |
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