| Raising Resilience Holistic Mental Wellness Inc | |
|
500 N Government Way Ste 300 Coeur D Alene ID 83814-2976 | |
| (208) 273-9147 | |
| Not Available |
| Full Name | Raising Resilience Holistic Mental Wellness Inc |
|---|---|
| Speciality | Social Worker |
| Location | 500 N Government Way Ste 300, Coeur D Alene, Idaho |
| Authorized Official Name and Position | Navara D Reardon (OWNER) |
| Authorized Official Contact | 2086510604 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Raising Resilience Holistic Mental Wellness Inc 500 N Government Way Ste 300 Coeur D Alene ID 83814-2976 Ph: (208) 273-9147 | Raising Resilience Holistic Mental Wellness Inc 500 N Government Way Ste 300 Coeur D Alene ID 83814-2976 Ph: (208) 273-9147 |
| NPI Number | 1497377469 |
|---|---|
| Provider Enumeration Date | 05/13/2020 |
| Last Update Date | 09/20/2023 |
| Certification Date | 09/20/2023 |
| Medicare PECOS PAC ID | 5193102051 |
|---|---|
| Medicare Enrollment ID | O20220513002132 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497377469 | NPI | - | NPPES |
| Provider Name | Navara Reardon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396274932 PECOS PAC ID: 6406282938 Enrollment ID: I20200131002120 |
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