| Premier Mental Health Services | |
|
1187 27th St Moline IL 61265 | |
| (563) 451-4041 | |
| Not Available |
| Full Name | Premier Mental Health Services |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1187 27th St, Moline, Illinois |
| Authorized Official Name and Position | Nicholas Joseph Wissing (OWNER) |
| Authorized Official Contact | 5634514041 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Premier Mental Health Services 1187 27th St Moline IL 61265 Ph: (563) 451-4041 | Premier Mental Health Services 1187 27th St Moline IL 61265 Ph: (563) 451-4041 |
| NPI Number | 1376364034 |
|---|---|
| Provider Enumeration Date | 10/24/2024 |
| Last Update Date | 10/24/2024 |
| Certification Date | 10/21/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376364034 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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