| Royal Emotional Care | |
|
2810 Lone Tree Way Ste 9 Antioch CA 94509-4956 | |
| (925) 642-1218 | |
| (925) 521-8715 |
| Full Name | Royal Emotional Care |
|---|---|
| Speciality | Social Worker |
| Location | 2810 Lone Tree Way Ste 9, Antioch, California |
| Authorized Official Name and Position | Queen Lm Adu-poku (CEO AND OWNER) |
| Authorized Official Contact | 9256421218 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Royal Emotional Care Po Box 2911 Antioch CA 94531-2911 Ph: (925) 642-1218 | Royal Emotional Care 2810 Lone Tree Way Ste 9 Antioch CA 94509-4956 Ph: (925) 642-1218 |
| NPI Number | 1912596933 |
|---|---|
| Provider Enumeration Date | 01/14/2021 |
| Last Update Date | 02/09/2021 |
| Certification Date | 02/09/2021 |
| Medicare PECOS PAC ID | 2365857091 |
|---|---|
| Medicare Enrollment ID | O20210210002453 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912596933 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Queen Lynn Marie Adu-poku |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700110657 PECOS PAC ID: 5294058236 Enrollment ID: I20141229000034 |
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