| Rippling Waters Counseling Pllc | |
|
220 Bradford Ln Ste C Waterloo IL 62298-3370 | |
| (618) 939-3919 | |
| (618) 939-3920 |
| Full Name | Rippling Waters Counseling Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 220 Bradford Ln Ste C, Waterloo, Illinois |
| Authorized Official Name and Position | Patricia Mary Jean Mosbacher (OWNER/THERAPIST) |
| Authorized Official Contact | 6189393919 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rippling Waters Counseling Pllc Po Box 151 Waterloo IL 62298-0151 Ph: (618) 939-3919 | Rippling Waters Counseling Pllc 220 Bradford Ln Ste C Waterloo IL 62298-3370 Ph: (618) 939-3919 |
| NPI Number | 1427502855 |
|---|---|
| Provider Enumeration Date | 08/15/2016 |
| Last Update Date | 05/11/2023 |
| Certification Date | 05/11/2023 |
| Medicare PECOS PAC ID | 8628487345 |
|---|---|
| Medicare Enrollment ID | O20210511000556 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427502855 | NPI | - | NPPES |
| F300270041 | Other | IL | MEDICARE PTAN |
| Provider Name | Patricia Mary Jean Mosbacher |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164715918 PECOS PAC ID: 4981872892 Enrollment ID: I20210519002067 |
| Provider Name | Yvonne M Petito |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346907466 PECOS PAC ID: 9335511781 Enrollment ID: I20230210001344 |
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