| Peaceful Pathways Therapeutic Services, Pllc | |
|
2309 W Cone Blvd Ste 240a Greensboro NC 27408-4047 | |
| (910) 213-3204 | |
| Not Available |
| Full Name | Peaceful Pathways Therapeutic Services, Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2309 W Cone Blvd Ste 240a, Greensboro, North Carolina |
| Authorized Official Name and Position | Tamesha Goddard Rhyne (CEO/ THERAPIST) |
| Authorized Official Contact | 9102133204 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Peaceful Pathways Therapeutic Services, Pllc 2309 W Cone Blvd Ste 240a Greensboro NC 27408-4047 Ph: (910) 213-3204 | Peaceful Pathways Therapeutic Services, Pllc 2309 W Cone Blvd Ste 240a Greensboro NC 27408-4047 Ph: (910) 213-3204 |
| NPI Number | 1942985569 |
|---|---|
| Provider Enumeration Date | 06/20/2023 |
| Last Update Date | 09/05/2023 |
| Certification Date | 09/05/2023 |
| Medicare PECOS PAC ID | 9133581473 |
|---|---|
| Medicare Enrollment ID | O20230817002504 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942985569 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Tamesha G Rhyne |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598215113 PECOS PAC ID: 1456696509 Enrollment ID: I20181219000247 |
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