Peaceful Pines Healing Practices, Llc | |
W3470 Badger Rd Pine River WI 54965-8118 | |
(920) 229-3929 | |
Not Available |
Full Name | Peaceful Pines Healing Practices, Llc |
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Speciality | Counselor - Professional |
Location | W3470 Badger Rd, Pine River, Wisconsin |
Authorized Official Name and Position | Anna M Syke (OWNER OF PRACTICE) |
Authorized Official Contact | 9202293929 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Peaceful Pines Healing Practices, Llc W3470 Badger Rd Pine River WI 54965-8118 Ph: (920) 229-3929 | Peaceful Pines Healing Practices, Llc W3470 Badger Rd Pine River WI 54965-8118 Ph: (920) 229-3929 |
NPI Number | 1194252304 |
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Provider Enumeration Date | 05/18/2017 |
Last Update Date | 07/21/2022 |
Identifier | Type | State | Issuer |
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1194252304 | NPI | - | NPPES |
1861810194 | Other | WI | INDIVIDUAL NPI FOR OWNER OF PRACTICE |
Taxonomy | Type | License (State) | Status |
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101YP2500X | Counselor - Professional | 5328-125 (Wisconsin) | Primary |