| Pulse Counseling & Wellness Center Pllc | |
|
1465 41st St Ste 6 Moline IL 61265-2579 | |
| (309) 232-8669 | |
| Not Available |
| Full Name | Pulse Counseling & Wellness Center Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1465 41st St Ste 6, Moline, Illinois |
| Authorized Official Name and Position | Autumn Gonzalez (CEO) |
| Authorized Official Contact | 3094308427 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pulse Counseling & Wellness Center Pllc 833 27th St Moline IL 61265-1510 Ph: () - | Pulse Counseling & Wellness Center Pllc 1465 41st St Ste 6 Moline IL 61265-2579 Ph: (309) 232-8669 |
| NPI Number | 1245008754 |
|---|---|
| Provider Enumeration Date | 12/13/2023 |
| Last Update Date | 12/14/2023 |
| Certification Date | 12/14/2023 |
| Medicare PECOS PAC ID | 6608211354 |
|---|---|
| Medicare Enrollment ID | O20240304002677 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245008754 | NPI | - | NPPES |
| Provider Name | Autumn Ashley Gonzalez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1699339978 PECOS PAC ID: 9234574989 Enrollment ID: I20240304003004 |
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