Peaceful Mind Behavioral Health | |
226 Alcovy St Ste B5 Monroe GA 30655-2184 | |
(678) 520-4173 | |
Not Available |
Full Name | Peaceful Mind Behavioral Health |
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Speciality | Nurse Practitioner |
Location | 226 Alcovy St Ste B5, Monroe, Georgia |
Authorized Official Name and Position | Sylvie M Shiwiri (PMHNP) |
Authorized Official Contact | 6785204173 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Peaceful Mind Behavioral Health 226 Alcovy St Ste B5 Monroe GA 30655-2184 Ph: (678) 520-4173 | Peaceful Mind Behavioral Health 226 Alcovy St Ste B5 Monroe GA 30655-2184 Ph: (678) 520-4173 |
NPI Number | 1811761133 |
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Provider Enumeration Date | 11/07/2023 |
Last Update Date | 07/26/2024 |
Certification Date | 07/26/2024 |
Medicare PECOS PAC ID | 8325485915 |
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Medicare Enrollment ID | O20240319000406 |
Identifier | Type | State | Issuer |
---|---|---|---|
1811761133 | NPI | - | NPPES |
Provider Name | Sylvie Mambo Shiwiri |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1568187599 PECOS PAC ID: 5496100604 Enrollment ID: I20231009000769 |
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