Sacred Living Behavioral Health And Wellness, Llc | |
10 1st Ave Ne Cairo GA 39828-2101 | |
(229) 216-9940 | |
Not Available |
Full Name | Sacred Living Behavioral Health And Wellness, Llc |
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Speciality | Nurse Practitioner |
Location | 10 1st Ave Ne, Cairo, Georgia |
Authorized Official Name and Position | Patricia Washpon Morris (CEO) |
Authorized Official Contact | 4049850313 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Sacred Living Behavioral Health And Wellness, Llc 10 1st Ave Ne Cairo GA 39828-2101 Ph: (229) 216-9940 | Sacred Living Behavioral Health And Wellness, Llc 10 1st Ave Ne Cairo GA 39828-2101 Ph: (229) 216-9940 |
NPI Number | 1487338430 |
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Provider Enumeration Date | 06/12/2023 |
Last Update Date | 02/06/2024 |
Certification Date | 02/06/2024 |
Medicare PECOS PAC ID | 7719323617 |
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Medicare Enrollment ID | O20240314000812 |
Identifier | Type | State | Issuer |
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1487338430 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | (* (Not Available)) | Primary |
Provider Name | Patricia Washpon Morris |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1851931620 PECOS PAC ID: 0143630228 Enrollment ID: I20201030000589 |
Georgia Pines Community Service Board Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1641 N Broad St, Cairo, GA 39828 Phone: 229-225-4335 Fax: 229-225-4374 | |
Inner Balance Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 281 Pierce Chapel Rd, Cairo, GA 39828 Phone: 229-350-6455 | |
Georgia Pines Community Service Board Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1641 N Broad St, Cairo, GA 39828 Phone: 229-225-4335 Fax: 229-225-4374 | |
Georgia Pines Community Service Board Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1641 N Broad St, Cairo, GA 39828 Phone: 229-225-4335 Fax: 229-225-4374 |